335 Slices
Medium 9781855759534

14 Agnes (April 1996)

Rosa Castella Karnac Books ePub

Rosa Castella

T his patient has only just started analysis, and I am already worried because she acts out a lot: some days she does not turn up, quite often in fact; other times she calls me on her mobile phone at the time of the session to say she is in such and such street, it would take her some time to arrive, and she would be late, so she won't come. She doesn't talk about cutting off the treatment, but she constantly does this sort of thing. The sessions I have brought today are the third and fourth in the analysis.

When she called for the first interview, she used the "tu" familiar form; when she arrived she had a cigarette in her mouth, continued using "tu", and asked me if I was not going to do the same; she wasn't pleased with my use of "usted". In our first interview her mobile phone rang. This telephone has an important place in this woman's communications: she uses it to let me know that she is not coming to a session, and it is the phone that keeps her in touch with her lover, who lives in Madrid; they might call each other twelve times a day to control one another.

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Medium 9781782202929

31. Cognitive Development (1968)

Money-Kyrle, Roger Harris Meltzer Trust ePub


As perhaps often happens, I became preoccupied with a problem – in this case the problem of cognitive development – without knowing why it was of such interest to me. I subsequently discovered some of the reasons, and by way of introduction will outline what seems to me the most rational one.

Briefly then, and with a good deal of over-simplification, I think I became preoccupied with cognitive development as the result of reaching the third of three stages in my approach to mental illness – stages which very roughly reflect successive attitudes which were fairly common in the psycho-analytic movement as a whole.

In the first stage, forty or fifty years ago, my dominant assumption would have been that mental illness is the result of sexual inhibitions. This may be profoundly true; but naively understood can lead to very superficial analysis. Moreover, in a subtle way, it can encourage a patient to adhere to the unconscious belief that, instead of giving up his Oedipus complex, he can realize it with the analyst’s help and so be master of the world.

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Medium 9781780491400

7: The Uses of the Model

Harris, Martha Harris Meltzer Trust ePub


The uses of the model

As already mentioned, this model is meant for use. But being a first attempt at a comprehensive psychoanalytical model it is bound to require modification with use. In addition it should lend itself to infinite amplification, subdivision and elaboration.

We will try to describe the different categories of use for which it has been designed specifically, not so much as a manual as for the purpose of illustrating possibilities. We will divide these generally into methodological, diagnostic and therapeutic uses.

Methodological uses

Since the overriding aim in creating the model was to provide an instrument for the rationalisation of observations of human behaviour and mental states from different points of view and by different methods, workers interested in a particular area should be able to locate their problem within its definitions, so that they can see what other areas of study and what other methods could contribute findings which would both assist them and be enlightened by the results of their research.

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Medium 9781855756649

III. Autism Proper - Timmy

Harris Meltzer Trust ePub


This sturdy and handsome boy came to treatment at the age of six years and nine months, and was seen five times per week for approximately four years with significant, but on the whole disappointing results. However, the process of the analysis as seen at the time and as comprehended in retrospect through comparison with other cases, has come to form the foundation of our conception of the Autistic State Proper. The difficulty of exposition is very great indeed and we therefore wish to outline the plan in advance so that it may be followed more easily.

We will present first a history composed of selected facts from his development, that is, facts selected because of their special relevance to the treatment experience. Then we will record one of the early sessions widi Timmy, chosen because of its completeness in sampling the phenomena that he presented in the playroom. Upon this background of history and clinical description we will then describe in a more general way the transactions of the first three years of the treatment in order to demonstrate how the mind and body of the therapist came gradually into possession of a consortium of qualities and functions that could pull together the child’s scattered mentality. Only then could a process recognizable as infantile transference evolve. Finally we will describe the transference events and their outward manifestations during a period in the fourth year centering on a most interesting lapse in Timmy’s previously well-established faecal continence.

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Medium 9781855757844

CHAPTER TEN: Aesthetic conflict

Meltzer, Donald Harris Meltzer Trust ePub

Introduction by Lennart Rambert

Meltzer had long recognized that patients in successful analysis, when approaching weaning, often had experiences of an aesthetic relation to the object—be it their partner, nature, or the analysis as such.

His experiences, especially from child-analysis and from studies of life in utero, and not least, his memory of experiencing his newly delivered grandchild looking into his mother's eyes, convinced him that the mind's first whole hearted launch into the outer world is to the mother-in-reverie. In the ensuing enchantment, links form between the epistemological drive for Knowledge and the Bionic vectors of Love and Hate, resulting in a strong—but the same time brittle—convergence of passionate feeling-thinking: an emotional experience, and food for thought.

This is the mould for all future aesthetic experiences, outer and inner, and is the most sought for relation to the object/outer world all through life. For in order to explore more deeply the nature of the creative process in psychoanalysis, especially the role of the internal objects—the thinking breast and the combined object— in creating an ego-ideal, he together with his stepdaughter, the psychoanalytically well informed writer and artist Meg Harris Williams, turned to poetry and literature. Tey wrote this book together, even if their thoughts are presented in separate chapters; and experiencing analysis resonates with the poet's relation to his Muse.

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