Treatment Of Primitive Mental States

Treatment can be a liberating experience. This book aims to show that its ultimate purpose is to help the patient achieve maximum individuation, to free him from the shackles that he has acquired during painful and frustrating experiences in infancy.

This is the first volume of an annual dedicated to the study of primitive mental states. We are drawn to and fascinated by the primitive, yet its meanings are multiple and complex. Primitive has been used synonymously with early, original, unorganized, organizing, random, deep, regressed, savage, fundamental, Dionysian, demonic, pregenital, and archetypal, among other terms. Primitive mental states are paradoxically described as highly sophisticated and deeply unsophisticated; as originating in culture or biology; as being spiritual, intrapsychic and intrasubjective. As is clear, though the meaning of primitive cannot be captured by a single definition, it does refer to something powerful, and that something is the subject of this series. With contributions from experts in many different fields, this first volume should be of interest to therapists, students of literature, and anyone interested in exploring the workings of the mind.

Traditional psychoanalysis relies on the presence of certain meaning-making capacities in the patient for its effectiveness. Primitive Mental States examines how particular capacities including those for symbolising, fantasising, dreaming, experiencing and finding meanings in those experiences, can be taken for granted. Many of us lack these capacities in certain dimensions of our minds making traditional psychoanalysis ineffective. In this book, international contributors are brought together to consider a radical evolution in contemporary psychoanalytic theory developed from a combination of ultrasound studies, infant analysis, and observation of mothers and babies. These findings demonstrate how much mental life exists even before birth and considers unevolved, unborn and barely born aspects of the self such as the birth of emotion and the birth of alpha functioning. Topics covered include: prenatal imprints on the mind and body difficult to treat patients non-verbal, non-symbolic, disembodied states of being early relational and attachment trauma. Illustrated throughout with original data and extensive clinical discussions from some of the biggest names in the field, Primitive Mental States will be a useful resource for students and seasoned analysts alike.

Traditional psychoanalysis relies on the presence of certain meaning-making capacities in the patient for its effectiveness. Primitive Mental States examines how particular capacities including those for symbolising, fantasising, dreaming, experiencing and finding meanings in those experiences, can be taken for granted. Many of us lack these capacities in certain dimensions of our minds making traditional psychoanalysis ineffective. In this book, international contributors are brought together to consider a radical evolution in contemporary psychoanalytic theory developed from a combination of ultrasound studies, infant analysis, and observation of mothers and babies. These findings demonstrate how much mental life exists even before birth and considers unevolved, unborn and barely born aspects of the self such as the birth of emotion and the birth of alpha functioning. Topics covered include: prenatal imprints on the mind and body difficult to treat patients non-verbal, non-symbolic, disembodied states of being early relational and attachment trauma. Illustrated throughout with original data and extensive clinical discussions from some of the biggest names in the field, Primitive Mental States will be a useful resource for students and seasoned analysts alike.

This clinically focused book explores W. R. Bion’s thinking on primitive and unrepresented mental states and shows how therapists can work effectively with traumatized patients who are difficult to reach. The author illuminates how trauma survivors suffer from direct access to primal undifferentiated positions of the psyche that lie outside the symbolic order of the mind and are resistant to treatment. This access, unmediated by symbolic representation but represented in the body, disrupts the normal trajectory of development and of relationship. Integrating theory and clinical application, the book addresses processes of symbolization, somatic receptivity, and the use of countertransference when working therapeutically with undeveloped areas of the mind. It also demonstrates how primitive body relations and object relations include the body of the analyst as part of the analytic frame and are essential in establishing a therapeutic alliance. Illustrated with detailed clinical vignettes, Bion and Primitive Mental States is important reading for psychoanalysts, psychologists, social workers, and educators who wish to understand primitive states of mind and body in patients who have previously been considered untreatable.

This clinically focused book explores W. R. Bion's thinking on primitive and unrepresented mental states and shows how therapists can work effectively with traumatized patients who are difficult to reach. The author illuminates how trauma survivors suffer from direct access to primal undifferentiated positions of the psyche that lie outside the symbolic order of the mind and are resistant to treatment. This access, unmediated by symbolic representation but represented in the body, disrupts the normal trajectory of development and of relationship. Integrating theory and clinical application, the book addresses processes of symbolization, somatic receptivity, and the use of countertransference when working therapeutically with undeveloped areas of the mind. It also demonstrates how primitive body relations and object relations include the body of the analyst as part of the analytic frame and are essential in establishing a therapeutic alliance. Illustrated with detailed clinical vignettes, Bion and Primitive Mental States is important reading for psychoanalysts, psychologists, social workers, and educators who wish to understand primitive states of mind and body in patients who have previously been considered untreatable.

Many people come to analysis appearing quite 'ordinary' on the surface. However, once below that surface, we often come into contact with something quite unexpected: 'extra-ordinary protections' created to keep at bay any awareness of deeply traumatic happenings occurring at some point in life. Judith Mitrani investigates the development and the function of these protections, allowing the reader to witness the evolution of the process of transformation, wherein defensiveness steadily mutates into communication. She lucidly and artfully weaves detailed clinical with a variety of analytic concepts, and her original notions - including 'unmentalized experience' and its expression in enactments; 'adhesive pseudo-object relations' and the way in which this contracts and compares with normal and narcissistic object relations - provide valuable tools for understanding the infantile transference/countertransference and for the refinement of our technique with primitive mental states. Ordinary People and Extra-Ordinary Protections will prove stimulating and accessible in its style and substance to a broad analytic readership, from the serious student of psychoanalysis to the most seasoned professional.

Trauma and Primitive Mental States: An Object Relations Perspective offers a clinically based framework through which adult survivors of early childhood trauma can re-engage with painful past events to create meaningful futures for themselves. The book highlights the use of the body and the mind in working with these early unmentalized and unrepresented states, illustrating the value of finding language that embodies emotions, and working in the here and now of transference and counter-transference. Including a range of examples of how early trauma can thus be re-presented and clinically understood, the book illustrates how patients can discover themselves and leave their repetitive patterns of suffering behind. Written by a clinician with over 30 years’ experience, this will be fascinating reading for psychoanalysts and psychotherapists as well as any mental health professional working with childhood trauma.

Frances Tustin was a pioneering child psychotherapist who broke new ground in working with autistic children in the latter half of the twentieth century. This book amplifies and extends contributions by Tustin to the study and treatment of autism, autistic spectrum disorders and autistic defences and enclaves in non-autistic patients. It offers rea

"Teaches us how the therapists can combine his theoretical knowledge, interpersonal skills, and creative inspiration to engage the patient and eventually help him emerge into a psychic world more like our own. This book is a compelling challenge to the conventional wisdom that schizophrenia is nothing more than an organically determined, incomprehensible madness."--Back cover.