Catalyzing the dialogue between the body and the mind in a psychotic analysand

The author presents the analysis of a 23-year-old, obese, psychotic man who was dominated by sensations and unable to work through the different levels of psychic elaboration. He could not discriminate between words and concrete objects or between the perceptual functions of sense organs and the oral-cannibalistic level of instinct. Following the working through of these inabilities, it became possible to understand the patient's use of sensation and to make him aware of his emotions and conflicts. The author's discussion of this material emphasizes the role of the body-mind conflict and how this can be confronted in the analytic relationship. Possible links with neuroscience are also indicated.     

Developing a Capacity for Bodily Concern: Antonio Damasio and the Psychoanalysis of Body–Mind Relationship

ABSTRACT

The author starts from the assumption that the body is the mind’s primary object. He explores the link between his clinical research about the Body–Mind relationship and neuroscience, by focusing particularly on the contribution by Antonio Damasio who has emphasized the importance of the bodily roots of mental functioning. In many patients nowadays, developing a capacity for “concern for one’s own body” is a stepping stone toward a genuine non-imitative mental functioning. This perspective contrasts with psychoanalytic orientations that give priority to recognition of the other and intersubjective dynamics.