The present paper examines the clinical integration of theory and experience from the perspective of clinicians’ subjective shaping of inquiry. The author suggests that the historical, conceptual development of clinical psychoanalysis parallels the progressive articulations of consensual understanding within the clinical hour. He suggests that the clinician's utilization of vernacular elements, derivative of direct experience as well as of reference to the wider range of psychoanalytic thinking, addresses gaps and disconnections within the abstract understanding of the clinical psychoanalytic process. Providing examples from psychoanalytic history, he concludes with a contemporary example of psychoanalytic papers, reflecting vernacular elements that are of use to practicing clinicians.
The present paper addresses Baruch Spinoza’s radical affirmation of individual identity emergent from within the psychosocial tensions of group membership. Focusing upon psychological experience beginning with a lived history of fearful Inquisitional persecution, and continuing from conformity to rebellion within the constraints of the Amsterdam Jewish synagogue, we trace the psychological recognition of individual identity in Spinoza’s understanding of the self-determined, immanent acts of daily life. Spinoza’s multiple names are depicted as markers, corresponding to membership in mutually exclusive social groups, each constraining freedom of thought and action.
Robert Waelder and W.R. Bion share an interest in articulating elemental landmarks within the psychotherapeutic terrain wherein primitive ideation may become transformed into a reclaimed reality orientation. The present paper extends their interest through clinical and literary example. It surfaces an aspect of Bion’s therapeutic calculus, implicit but unstated, in the temporal arrival at multiple and continuously changing “d” structures within the ongoing process of therapy. By recognizing the joint contribution of therapist and patient within these creations in time of arrival at approximations to the depressive position, the authors illustrate the weaving of “white hole” matrices, affording temporary relief from the dread of annihilative anxiety that reclaim the patient’s capacity for non-psychotic self-orientation.
Bridging psychoanalysis and literature, the present paper links literary depiction of traumatic terror with our own learning from psychoanalytic experience. It identifies psychodynamic understanding at two levels: (1) at the descriptive level of traumatic experience; and (2) at the specific level of working-through. Beginning with traumatic descriptions in ancient Western accounts, represented in the Biblical book of Lamentations and by Sophocles, the paper focuses on the dynamic work of affective and cognitive emergence, highlighting a sequence of repetitive traumatic reminiscences drawn from Samuel Beckett's literary productions across a 33-year period from >The end< to >Company.< In so doing, it illustrates both the literary and therapeutic efficacy in emotional conveyance of personal narrative in achieving the necessary cohesion after traumatic experience to more effectively go on.