Reverie‐informed research interviewing

Drawing on Thomas Ogden's notion of ‘reverie’, the role of self‐reflection in research interviewing is explored. Ogden views reverie as a co‐created intersubjective phenomenon, a ‘third’, distinct from both analyst and patient. Two face‐to‐face research interviews with adolescent depression sufferers are described, showing how reverie can be used to help overcome impasse, and develop research hypotheses. Participant‐centred research interviews were thus shown to be enhanced by psychoanalytically informed self‐reflection as accessed through reverie. The role of reverie in research interviewing, in part spontaneous and ineffable, in part defined and systematic, is discussed.     

Positive evidence for neonatal imitation: A general response,adaptive engagement

The study employed four gestural models using frame‐by‐frame microanalytic methods, and followed how the behaviours unfolded over time. Forty‐two human newborns (0–3 days) were examined for their imitation of tongue protrusion, ‘head tilt with looking up’, three‐finger and two‐finger gestures. The results showed that all three gesture groups were imitated. Results of the temporal analyses revealed an early and a later, second stage of responses. Later responses were characterized by a suppression of similar, but non‐matching movements. Perinatal imitation is not a phenomenon served by a single underlying mechanism; it has at least two different stages. An early phase is followed by voluntary matching behaviour by the neonatal infant.     

Using imitation with congenitally deafblind adults: establishing meaningful communication partnerships

All congenitally deafblind people are potential communication partners. The key question for practitioners is how to help them achieve that potential. Imitation offers a particularly powerful means of doing so because it allows both partners to occupy a joint dyadic space, where the process of repairing the damaged communication partnerships that many deafblind people have been forced to function within throughout their lives can begin. I will first outline a brief history of deafblind education over the last 150 years in order to provide a general account of changes in practice and theory and corresponding impacts on interventions. I will then describe some of the difficulties that congenitally deafblind people face in making contact with and being understood by other people before drawing on both practical examples and theoretical accounts on neonatal imitation to examine four key functions that imitation plays in facilitating communicative exchanges between deafblind individuals and their partners: it attracts attention, it stimulates turn‐taking, it allows partners to recognize each other and it reveals the other as ‘just like me’. I will conclude that imitation is simply the starting place for a journey towards a ‘natural’ language for congenitally deafblind people, a language where meanings are jointly negotiated from the actions, gestures and vocalizations that develop between deafblind people and their communication partners. This starting place is the same for congenitally deafblind people as it is for all infants: a companion space where imitation acts a powerful and immediate source of feedback about your value as a fellow human being. Copyright © 2006 John Wiley & Sons, Ltd.     

A COMPARATIVE LOOK AT INTERSUBJECTIVE AND OBJECT RELATIONAL APPROACHES TO CLINICAL MATERIAL

The Search for a Relational Home: An Intersubjective View of Therapeutic Action. By Chris Jaenicke. London/New York: Routledge, 2015. 100 pp.     

Editorial

With the aim of increasing knowledge about processes of change in psychodynamic individual child psychotherapy, sessions that could be called turning points were analysed.     

Interpersonal conflict in group therapy: An object relations perspective

The aim of this paper is to demonstrate how object relations theory can be used to understand and regulate interpersonal conflict in group psychotherapy. Such concepts as projective identification, intersubjectivity and the analytic third are used to describe how conflict emerges in group psychotherapy and how it can be worked through. Case material is also provided to illustrate concepts and techniques in promoting a group's transition from a paranoid/schizoid to a depressive position. Positive aspects of the concept of projective identification are discussed including its use as a form of communication, a method of reducing anxiety and reintegrating previously dangerous and threatening aspects of the self.The paper was funded by Evan F. Lilly Memorial Trust Grant PV 13,067.     

Countertransference and changes in the conception of the psychoanalytic relationship

Abstract

The concept of countertransference has a long history in psychoanalysis. This paper sketches the phenomenon referred to by countertransference and the development of the concept, from being signs of disturbance in the analyst to an important road to knowledge about the patient's inner life. The complexity of the questions discussed today – how to understand the concepts of neutrality, abstinence, and empathy; the relative subjective mutuality and symmetry of the analytic situation; the analyst's enactments and self-disclosure of feelings – reflects the complexity of the contemporary view of the patient–analyst relationship. In conclusion, the author presents a model illustrating the disturbing and informative aspects of countertransference together with the conceptual relationship between countertransference on the one hand and empathy and projective identification on the other. Finally, by differentiating between intuitive and irrational levels of functioning, an integrated model for countertransference is presented, synthesising the essence of the concept as it is used today.     

From intersubjectivity to subjectivity: the transformative roles of emotional intimacy and imitation

How is the transition between intersubjectivity and subjectivity accomplished? While many developmental theorists have argued that social interaction gives rise to individualistic capacities (e.g. representation, language, consciousness), relatively few theorists have attempted to identify the precise mechanisms that might be responsible for this transformation. The present paper addresses this gap by drawing attention to the central role played by emotional intimacy. It is argued that subjectivity arises out of intimate engagement with others, and particular attention is given to the role of imitation in fostering such intimacy. While the primary focus is on infant development, links are made to work with atypical populations because they offer valuable insights into the developmental processes under consideration here. The ultimate aim of the paper is to demonstrate that by recognizing the emotional intimacy inherent within adult–infant interactions, new solutions are offered to theoretical problems that developmental psychology continues to face in accounting for the origins of subjectivity. Copyright © 2006 John Wiley & Sons, Ltd.     

论医患身体主体间性

医患身体主体间性理论是对主体性医学的反思,是在身体哲学思想影响下形成的学术研究成果,是身体主体间性理论在医患关系研究领域的展现。当下医患关系中的各种问题的根脉深藏在医患身体主体间性之中。医患身体主体间性实然状态的体现是：医患身体主体间性维度的裂解、医患身体主体平等的相对性、医患身体主体差异的绝对性和医患诊疗活动涉身的选择性。医患身体主体间性应然状态希冀是：“双手共现”的医患身体主体间性、医患身体主体间性促进医患共同决策、导向医患共识和增强医患共情。

     

Changes in imitative behavior during early infancy

Changes in imitative behavior and attentiveness were observed in 40 infants when they were 2 to 6 months of age. The facial expressions happy, sad, and surprised were modeled in a trials-to-criterion procedure, and the infants' looking time and mouth movements were recorded by an observer who was unaware of the face being modeled. In addition, the observer recorded her guess as to the expression being modeled by the corresponding expression on the infant's face and rated the infant's expressivity. The results suggested that looking time, correspondence between the mouth expression of the infant and the mouth expression modeled, accuracy of the observer's guess, and expressivity ratings decreased from 2 to 3 and 4 to 6 months. Although matching of mouth movements with the modeled mouth movements and accuracy of guesses were greater than chance over the 2 to 6 month-period, the decreases in these measures suggest that imitative behavior declined across early infancy. The decrease in looking time suggests that imitative behavior and attentiveness may be related and highlights the limitation of this paradigm for assessing the development of imitation during early infancy.     

The “Ages” of Ogden Nash

This essay looks at the way Ogden Nash, America's Genius of Light Verse, saw his life and times in the 30's, 40's, and 50's. It focuses on a group of poems in which the author mentions his age at the time of writing and explores their insights. They move from young adulthood to retirement and thus become Nash's equivalent of Shakespeare's Ages of Humanity. The author notes how his study of Nash has provided insights in living and illustrates this through poems of his own. In following this particular journey through the stages of life, we might well discover ways of mining the gold in our own experience.     

Book Reviews

Books reviewed:
Robert Clark, Mr. White's Confession
J. Wentzel van Huyssteen, The Shaping of Rationality: Toward Inter–disciplinarity in Theology and Science
Phil Hefner's, Errata from Dialog 41, no. 1 (Spring 2002)     

On becoming a child: Reverie in the psychotherapy of children

My aim in this paper is to examine the role of reverie in facilitating the development of the child‐subject, that is, the child's continuous motion towards subjectivity. I begin by briefly reviewing the concept of reverie and proceed with an examination of elements I believe are fundamental and common to both reverie and child psychotherapy, that is, primary thought processes and primitive impulses. I then describe and demonstrate the atmosphere created by these elements using three examples from the psychotherapy of 8 year‐old Jonathan. Next, I discuss an intersubjective parallel of Bion's reverie and a developmentally oriented version of Ogden's reverie, focusing on its relation to processes of destruction and recognition. I argue that reverie provides the recognition of the child's struggle for his own birth and growth as a subject, that is, of his child‐subject. Finally, I refer to the presence of reverie from the primary preoccupation of mother and father till the child's reverie of himself, his day‐dreaming.     

Subject in first person--subject in third person: subject, subjectivity, and intersubjectivity

In this article, the author traces the history of the concepts of subject, subjectivity, and intersubjectivity in different psychoanalytic theories in the last decades. She argues that the uniqueness of these concepts and their different implications were not emphasized enough. The author discusses the various implications and contexts of the concept of subject in psychoanalytic theory proper and to relate as to: (1). The need to distinguish between the concepts of subject and subjectivity; (2). The mutual interdependence of the subject and his subjectivity and the intersubjective domain (both in the development of the individual and in theoretical thought pertaining to it). Her point of departure is from the position of the subject as a free creature, the centrality of the experiencing individual, from his/her perspective—the subject in the first person. She tries to explain the paradox implicit in the experiential dimension, the place of the other as participant, as both negating and recognizing—the subject in the third person. She suggests the interdependency of the first-person experience of subjectivity on the intersubjective dimension.     

Mirroring,imitation, identification: the sense of self in relation to the mother's internal world

The phenomenon of neonatal imitation, and the use of mutual imitation by mother and baby in the service of attunement, are considered in relation to psychoanalytic theories of mirroring, imitation and identification. Material from infant observation and from the treatment of two children on the autistic spectrum is discussed in terms of the suggestion that developmental imitation implies a perceived position of balance between the external baby and the mother's supposed internal occupant. This is seen as making possible introjective identification and assimilation, with the enrichment of the sense of identity, in contrast to the kind of imitation involving mimicry, in which adhesive or projective identification may be operative.     

Community,subjectivity, and intersubjectivity

This paper deals with the notions of subjectivity, intersubjectivity, and community from several different points of view that include subjective and intersubjective agency, a sense of community, the community as a social institution, and the idea of social justice. The context of these considerations can be found in the Community–Social–Psychological approach to social action as it is often practiced in Latin America. A review of these themes is considered important because different models of community intervention and practice may lead to different expressions of community interaction.     

Memories,or attempts to dream undreamt traumas? Souvenirs dormants (Sleeping memories) by Patrick Modiano,under the gaze of Thomas Ogden

Abstract

In “Sleeping memories”(2017), French writer Patrick Modiano confronts the past and his memories in a different way compared with his previous novels, as he keeps trying to revisit and reprocess them. In this book he adds a new method, the dreaming revision of memories, especially traumatic ones, turning to the work of Marquis d’Hervey de Saint-Denys, “Les rêves et les moyens de les diriger: Observations pratiques.” I would suggest that in this way he dreams undreamt traumas, thereby transforming them. In doing so, Modiano meets Thomas Ogden’s art of psychoanalysis.