Working with patients with disruptions in symbolic capacity1

This article focuses on understanding and working with patients who have poorly developed symbolic capacity, or for whom symbolic capacity has been disrupted due to trauma, particularly as it pertains to the use of reverie and interpretation in the analytic process. Many patients who present for Jungian analysis will initially present with deficits in symbolic functioning. This situation results in necessary limitations or modifications in utilizing traditional Jungian techniques such as dream analysis, active imagination, sand tray and other expressive art techniques. The initial phase of analytic work with these patients requires a focus on developing their symbolic capacity before traditional Jungian techniques can be utilized effectively. During the paper Jung's concept of ‘the symbolic attitude’ will be examined as well as the conceptual models of Wilfred Bion and other post-Bionians who outline theories and method for cultivating symbolic capacity and reflective functioning in patients for whom these capacities are impaired or poorly developed.     

Reverie: between thought and prayer

Abstract:  Taking inspiration from a quotation by Lao Tzu, this paper considers 'reverie' as a dynamic process of containment as well as a state of mind. Reverie as a quality of thought akin to prayer is explored in the relationship between self and other. In infant observation, the paper contemplates the development of a baby's capacity to reach beyond the personal world to an archetypal experience of being held, where the creation of an internal space in mind could indicate the beginnings of spiritual awareness. 'Maternal/analytic reverie' views the passage of unconscious communication between patient and analyst as the result of a 'window' opening in the meniscus of the analyst's self. 'Paternal/supervisory reverie' reflects on the impact on a patient of an extra containing mind of a supervisor. 'Archetypal reverie' considers the transforming impact of numinous dreams on the psyche, and reflects on the power of prayer. Drawing on clinical examples from these four areas, the aim is to demonstrate the usefulness of the 'void within' and the perceptive function of emptiness in the 'doors and windows' of our mind.     

Dreaming the other's past: Why remembering may still be relevant to psychoanalytic therapy,at least in some traditions

Against the background of a reconstruction of the reasons for the vanishing role of remembering in the history of psychoanalysis, Botella's (2014, Int J Psychoanal, 95 ) arguments regarding the therapeutic significance of reconstruction and remembering and of the therapist's role are discussed. The difference between intellectual reconstruction and actual emotional remembering are underlined, the term regredience is compared to competing concepts such as equally suspended attention, countertransference and reverie. It is argued that to conceptualize the use of countertransferential associations for reconstructing past traumatic events is difficult with a monadic conception of the unconscious and problematic both in terms of truth claims and in terms of achieving a shared creative atmosphere in which therapist and patient participate alike. It is concluded that historical truth may be important for traumatic experiences, and that biographical reconstruction and change in the subjective life story help to make sense of neurotic patterns and integrate diachronic identity.     

To know or not to know: an application of Bion’s K and –K to child treatment1

The authors discuss an application of Bion’s conceptualisation of thinking and non-thinking states (K and –K links) to the treatment of a nine-year-old girl. The authors consider Bion’s interrelated concepts such as K and –K, container/contained, maternal reverie, and the development of thinking through alpha function to be highly applicable to child treatment. The afore-mentioned conceptual elements are used to elucidate case material over two consecutive hours. A K link is established between therapist and patient, the fragility of which link is then demonstrated by its deterioration into a –K link. Complex issues about knowing and not knowing are central in this girl’s clinical presentation. She was conceived through in vitro fertilisation (IVF), and subsequently diagnosed with cerebral palsy. The authors consider the emotional impact of this origin story and how the parents relate to it. The authors discuss how parents sometimes cope with perceived losses by wishing to shield or protect their children. This can have repercussions for children’s efforts to know (K) and not to know (?K). The fear that emotional knowledge will be too painful to bear can interfere with ‘learning from experience’. Bion’s premise that the purpose of analysis is the growth of the mind is synonymous with the child analyst’s goal of fostering development and understanding impediments to development.     

Riding the Currents

Abstract

The overlapping, numinous roles of child therapist and mother demand focused compassion, connection and humility. Spiritual dimensions of Intention, Balance, and Integrity are examined as vehicles for “riding the currents” of energy available for nurturing and healing tasks. Archetypal and religious sources of passion and perspective are explored and applied to anecdotal family, dream and case materials. The psychoanalytic concept of a mother's reverie is extended to address a mother's role in supporting growth by mediating between the personal and the Universal. Multiple roles of offering and receiving personal and professional nurturance suggest approaches to replacing depletion with replenishment.     

SOME IMPLICATIONS OF BION'S THOUGHT

Following up Bion's idea that dreaming is a continuous process that takes place in waking life as well as in sleep, the author develops its theoretical and technical implications. He describes the narrative derivatives of waking dream thought as the means, or interface, whereby access may be had, albeit indirectly, to the constantly forming sequences of alpha-elements. Examples of the formation of these sequences out of childhood memories, present-day experiences and sexual feelings are given. Reference is also made to the notion of the analytic field. The author goes on to demonstrate the clinical value of these concepts both for studying the session's microtransformations and as a means of in-depth examination of the analyst's own mental functioning, including its lapses, in a session. Abundant clinical material is presented to help analysts who normally apply different models of the mind share these ideas. Finally, it is suggested that night dreams result from a further elaboration of the elements formed during waking life.     

The illusion of replacement in research into the development of thinking biases: the case of the conjunction fallacy

The conjunction fallacy is a violation of a very basic rule of probability. Interestingly, although committing the fallacy seems irrational, adults are no less susceptible to the fallacy than young children. In Experiment 1, by employing tasks where the conjunctive response option involved two non-representative items, we found a large reduction in fallacy rates as compared to traditional conjunction fallacy problems. Nevertheless, fallacy rates remained relatively high in both adolescents and adults, although adults showed more consistency in their normative responses. In Experiment 2, we demonstrated that children’s relatively good performance on the task was not the consequence of their missing knowledge of social stereotypes. Additionally, children were more strongly affected by explicitly presented frequency information than adults. Indeed, adults only took frequency information into account when frequencies were made relevant by a training in probabilistic reasoning. Overall, the results suggest that whereas the potential for normative reasoning increases with development, this potential is often overshadowed by a pervasive tendency in adolescence and adulthood to rely on contextual information, knowledge, and beliefs, even when conflicting information is available. By contrast, children are more strongly influenced by explicitly presented information than relevant knowledge cued by the tasks.     

Stray thoughts – seeking home: Henrik Ibsen's Peer Gynt read in light of Wilfred Bion's ideas

Peer Gynt, the main character in Ibsen's dramatic poem from 1867, has fascinated scholars since its publication. After a lifetime of escapades, Peer finds himself lonely, detached and with feelings of deadness. Gradually, the underlying structure of his personality confronts him. With the help of Wilfred Bion's ideas, it is possible to trace a distinct pattern, where unprocessed thoughts seem to play a decisive role in hindering Peer's self‐realization. The main female character, Solveig, spends her life waiting for Peer. Eventually she develops into a container, ready to welcome Peer's stray thoughts. This paper demonstrates how she evolves Bionian capacities like reverie, and eschewing of memory and desire. The interpretation that follows thus challenges a tradition where Solveig is seen as a romantic figure who, like Goethe's Gretchen, is designed to save the male protagonist by unconditional love. This paper argues that Solveig plays a more active role towards Peer in offering significant tools for personal development. The paper concludes that Ibsen and Bion have uncovered elements of basic human conditions that in some significant ways seem to coincide.