By Paulo Cesar Sandler
The ultimate publication within the three-volume sequence, A medical program of Bion’s Concepts is split in 4 components. half I, during the relief of a transdisciplinary research among psycho-analysis, arithmetic, and physics, proposes 4 extended adaptations of Bion’s epistemological software, The Grid. half II is a examine of the main elemental bearings of the psycho-analytic clinic—free institutions and unfastened floating attention—which evolves from the learn of goals, lower than the contributions of Bion (presented in quantity I), in addition to from the learn of the analytic functionality and the functionality of the analyst (presented in quantity II). partly III, Sandler exhibits how the pursuit of fact could be noticeable as one of many reasons of the psycho-analytic research within the health center. half IV offers Sandler’s proposals for increasing the observational strength of present Bion’s theories.
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Additional info for A Clinical Application of Bion's Concepts, Volume 3: Verbal and Visual Approaches to Reality
The patient feels that his capacity to love could be denied and split. Lost in the darkness of the unconscious, it would materialise itself in the external environment, as a projection into the analyst. It is clothed in a hallucinated collusion of a pseudo-loving agreement, manifested by “the same idea”: aggression. It constitutes a resistance, in its classical sense discovered by Freud, accompanied by projective identification, which results, in the here and now of the session, in a “reversion of perspective”: it turns a dynamic situation into a static one (Bion, 1963, pp.
Interlude between sessions Possibility 2 is represented graphically by Figs. 6 and 7. The previous tri-dimension Grid (Fig. 5) depicted a high intensity in A1, A2 and A6. It was this extra-session examination which enabled the analyst to complete the tandem cycle of the Positions (PS D). Thus armed, he considered a second hypothesis. It could be stated as a question: is it the “I dreamt about …” which evokes the agreement about “aggression”? In subduing the second part, the communication would be a hint: the patient dreams that he is undergoing an analytic session; a wishfulfilling dream intended to ignite a pleasant reaction in the analyst.
To the reader who does not loathe symbols or is accustomed to its corresponding worded notation, Bion’s quasi-mathematical parlance may serve: A1 (beta-element as a definitory hypothesis). The “interpretation” and its collusive reassurance are symbolically noted by A2 (lies as a definitory hypothesis, with no transformation from beta-element). Another category reached by what happened in the session is assigned to A6, acting out a definitory hypothesis. Both patient-analyst relationship and the analyst’s interpretation can be seen as an acting out, as defined by Freud and reviewed by Fenichel.
A Clinical Application of Bion's Concepts, Volume 3: Verbal and Visual Approaches to Reality by Paulo Cesar Sandler