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.

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.

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.

Through a richly detailed close reading of Wilfred R. Bion’s work on dreaming, as scattered across multifarious and largely unworked texts, this book argues that Bion’s thinking can form a unified theory of dreams which extends and has further implications as a visionary model of the mind. The central quality of Bion's visionary model of the mind is the belief that all that is interesting in the human mind pulsates with an unreadably complex dynamic beyond the unknown, the unknowable and the unthinkable. However, rather than interpreting this negatively, the author understands the inevitable unknowability of the human mind as a call to perplexity and wonder which actively encourages the intuition of fundamental insights into who and what determines our internal lives. A major implication of this belief is that psychoanalysis is itself essentially about the unknown, and Monteiro generates informed observations about how this may influence psychoanalytic work. Providing renewed insight into psychoanalytical understandings of dreams, this book is essential reading for any psychoanalyst wishing to broaden their knowledge of the importance of Wilfred R. Bion’s dream work.

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.

Drawing on the influential contributions of Wilfred Bion and Donald Meltzer to psychoanalysis, Bion and Meltzer's Expeditions into Unmapped Mental Life explores and addresses the clinical implications of their work, both through revisiting several of their conceptions and illustrating them with detailed clinical material from the analyses of children, adolescents, and adults. Psychoanalysis strives towards truth; this is its essence. However, emotional truth is often unknowable and not amenable to verbal communication. This ineffable mental realm is at the heart of both Bion and Meltzer's psychoanalytic endeavours. Bion's writings reflect a developmental stage in the evolution of psychoanalysis, extending clinical work to mental realms that were seemingly unreachable. Donald Meltzer further infuses Bion's thinking with his own original notions of beauty and aesthetics, imbuing Bion's profound thinking with a poetic and lyrical tenor. Writing in a clear and lucid manner, Avner Bergstein integrates Bion's sometimes highly theoretical thinking with everyday clinical practice, facilitating his dense and condensed formulations and making them clinically accessible and useful. Bion and Meltzer's Expeditions into Unmapped Mental Life is written for psychoanalysts and psychoanalytically oriented psychotherapists who are attracted to Bion and Meltzer's radical thinking.

Psychoanalysis of the Psychoanalytic Frame Revisited provides an in-depth discussion of José Bleger’s work, broadening current knowledge and focusing on his significant contribution to psychoanalytic thinking. This work should prove especially relevant in considering the implications of changes in the treatment setting forced by the Covid pandemic. This edited collection proposes a current debate on José Bleger's ideas on the psychoanalytic setting. The contributors here provide a broad overview of current discussions about the analytic setting, its clinical expressions and its technical management, engaging and transforming the concept of "encuadre" (frame). The book covers topics including early experiences, the psychoanalytic setting, symbiosis and applications in a pandemic. A common thread, Bleger's brilliant intuition, runs through the book, and the tense relationship between the frame and the figure maintains its dynamics throughout. Psychoanalysis of the Psychoanalytic Frame Revisited will be of great interest to psychoanalysts in practice and in training, as well as anyone seeking to understand the work of José Bleger.

In contemporary psychoanalysis, a key concept and aim of clinical practice is to distinguish the boundaries of any mental state. Without this boundary-setting, the patient has nothing but the 'formless infinite' of primitive mental states. Formless Infinity: Clinical Explorations of Matte Blanco and Bion draws on the work of these two authors to explore how analysts can work with patients to reveal, understand and ultimately contain their primitive mental states. Riccardo Lombardi discusses the core concepts of the unconscious, the role of the body in analysis, time and death. He displays the clinical implications of Matte Blanco’s theoretical extension of Freud’s theory of the unconscious, presenting numerous clinical examples of working with psychosis and other severe pathologies. Formless Infinity, a stimulating teaching text for students, trainers and seasoned mental health practitioners, is essential reading for psychoanalysts and psychoanalytic psychotherapists. It is particularly recommended to analysts interested in widening the scope of the analytic practice by exploring the functioning of the deep unconscious, primitive mental states, psychosomatic pathologies and psychotic conditions.

Bion Today explores how Bion’s work is used in contemporary settings; how his ideas have been applied at the level of the individual, the group and the organisation; and which phenomena have been made more comprehensible through the lenses of his concepts. The book introduces distinctive psychoanalytic contributions to show the ways in which distinguished analysts have explored and developed the ideas of Wilfred Bion. Drawing on the contributors’ experience of using Bion’s ideas in clinical work, topics include: an introduction to Bion clarification of the inter-related concepts of countertransference and enactment concepts integrating group and individual phenomena clinical implications of Bion’s thought Bion’s approach to psychoanalysis. Bion Today will be a valuable resource for psychoanalysts, psychotherapists and all those who are interested in learning more about Bion’s thinking and his work.

With his concept of "O," Wilfred Bion provided a new psychoanalytic space in which to explore the mind. Dr Annie Reiner's new book, Bion and Being: Passion and the Creative Mind, examines the similarities between this psychoanalytic space and the artist's creative sensibility, as well as mystical and religious states. This most mysterious and revolutionary of Bion's analytic ideas reflects what is essentially a state of being, an experience of mental integrity and union between emotional and rational functions of the mind which is the basis of thinking and creativity. In an effort to provide emotional understanding to Bion's theoretical ideas, Dr Reiner uses examples of artists, poets, writers, theologians, and philosophers, including Rilke, Cummings, Shakespeare, Beckett, and Nietzsche, to illustrate these psychoanalytic concepts. She also presents detailed clinical examples of patient's dreams to explore the obstacles to these states of being, as well as how to work clinically to develop access to these creative states.