Bion’s legacy

Grotstein, James S.

doi:10.4324/9780429471209-6

Cited by 13 publications

(28 citation statements)

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“…I find it helpful to think about there being an interplay between the intersubjective processes operative at the levels of implicit relational knowing and of dream consciousness (Grotstein, 2007; Lawes, 2013). From the therapist’s perspective, intersubjectivity at the level of implicit relational knowing is inwardly felt but externally oriented in the sense that it involves the therapist attuning with the dynamic qualities of the client’s sounds, music or movements which are externally perceived.…”

Section: Clinical Example: Partmentioning

confidence: 99%

“…Ogden (2005) has developed an especially useful way to understand how dreaming works drawing on Bion’s work. Ogden’s idea is that dreaming, as an unconscious mental activity occurring day and night, both creates and maintains the structure of the mind (Grotstein, 2007; Ogden, 2005). This is as a ‘mediated conversation’ (Ogden, 2005: 48) between the mind’s conscious or finite, and unconscious or infinite, 5 dimensions (Figure 2).…”

Section: Clinical Example: Partmentioning

confidence: 99%

“…At the same time, dreaming keeps conscious and unconscious connected. This is important where, according to Bion, mental growth depends on a successfully mediated contact with the infinite depths within which dreaming alone can provide (Grotstein, 2007; Lawes, 2013). 6…”

Section: Clinical Example: Partmentioning

confidence: 99%

“…Ogden’s discussion of this develops Bion’s seminal work on the role and nature of dreaming in processing emotion. Here, dreaming is understood to take place unconsciously not only at night but also during the day when it is accessible in a reverie state (Grotstein, 2007; Ogden, 2005). Ogden describes how the analyst uses his reverie experience in the session to participate with the client in her dreaming herself more fully into being as she could not manage alone.…”

Section: Introductionmentioning

confidence: 99%

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On improvisation as dreaming and the therapist’s authentic use of self in music therapy

Lawes¹

2019

British Journal of Music Therapy

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This article discusses the Music Therapist’s authentic use of self in improvisation-based music therapy to involve the therapist’s ability to ‘dream in music’. The topic is explored with reference to the work of psychoanalyst Thomas Ogden and illustrated with clinical examples from work with an adolescent with autism. The author describes the music-based dreaming through which it was possible to establish a musical connection with the client for the first time that enabled the client’s music and process to evolve as it had not previously. The thinking presented has links with Winnicott’s ideas about play, creativity and psychotherapy; with Stern’s ideas about implicit relational knowing, intersubjectivity and affect attunement; and with theorising about transference and counter-transference in music therapy. The article develops a theory of dreaming in music that highlights the importance of the therapist’s ability to work with the creativity of the unconscious, trusting the music that emerges from within.

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Section: Clinical Example: Partmentioning

confidence: 99%

Section: Clinical Example: Partmentioning

confidence: 99%

Section: Clinical Example: Partmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

On improvisation as dreaming and the therapist’s authentic use of self in music therapy

Lawes¹

2019

British Journal of Music Therapy

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“…Paraphrasing Bion, John Steiner says: ‘the psychotic part is preoccupied with the problem of repair of the ego and the non‐psychotic part is concerned with neurotic problems centred on the resolution of a conflict of ideas and emotions’ (Steiner, , p. 203). The psychotic anxieties of annihilation and unassisted living (Grotstein, , p. 46) threaten to overwhelm the ego and hence they threaten its ‘existence’. In other words, it is the interplay of the psychotic part of the personality that has to retain omnipotent control over the object and keep the ego ‘together’ away from impingements of reality, which the neurotic part attempts to face.…”

Section: Clinical Commentary On Psychotic Processesmentioning

confidence: 99%

Clinical Roundtable on Technique

Bonnigal-Katz¹,

Fortuna²,

Tombras³

2017

Brit J Psychotherapy

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This clinical roundtable features a presentation by Dorothée Bonnigal‐Katz who posits the impairment of the mechanisms of repression as characteristic of psychosis and discusses its consequences for the analyst, especially as regards the place of interpretation. She shows how the analyst's encounter with the psychotic experience radically challenges and paradoxically validates psychoanalytic technique. In response to Bonnigal‐Katz's discussion, Tomasz Fortuna offers an overview of the psychoanalytic tradition's response to psychosis, raising the issue of the relation between psychosis and neurosis. Christos Tombras, on the other hand, invokes Freud's discussion of Schreber's Memoirs from a Lacanian perspective and addresses the question of language and experience.

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Observing and interpreting clinical process: Methods and findings from ‘Layered analysis’ of parent–infant psychotherapy

Baradon

Avdi

Sleed

et al. 2023

Infant Mental Health Journal

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This paper describes a method for investigating clinical process, Layered Analysis, which combines therapist countertransference reports and multi‐faceted microanalytic research approaches. Findings from the application of Layered Analysis to video‐recorded micro‐events of rupture and repair in four psychoanalytic parent–infant psychotherapy sessions are presented. Layered analysis showed that countertransference and observation are complementary perspectives, which enable concomitant study of interactive events, conscious internal experiences, as well as nonconscious and unconscious elements of therapeutic interaction. Interactional rupture and repair were found to constitute co‐constructed micro‐events that occurred fleetingly and often implicitly, and differed in the structure, coherence and flow of interactions and in the relationship between verbal and nonverbal communication. Furthermore, interactional ruptures were found to sometimes ‘get into’ the therapist and transiently disrupt their self‐organization, such that the therapist became a locus of disruption for the patient(s), actively contributing to the rupture, which thus became embedded in the therapeutic system. Interactive repair was found to be most often initiated by the therapist and to be underpinned by the therapist re‐establishing self‐regulation, through metabolizing embodied and verbal aspects of the rupture. Studying such processes can enhance our understanding of clinical process, inform therapist training and clinical supervision, and contribute to clinical outcomes.

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Bion’s legacy

Cited by 13 publications

References 0 publications

On improvisation as dreaming and the therapist’s authentic use of self in music therapy

On improvisation as dreaming and the therapist’s authentic use of self in music therapy

Clinical Roundtable on Technique

Observing and interpreting clinical process: Methods and findings from ‘Layered analysis’ of parent–infant psychotherapy

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