Plenary session 6 : The work of the analyst: technical differences
Perrine MORAN (Angleterre)
Object Relations and Mentalization in Couple Psychotherapy.
Mentalization Based Treatment for Couple Therapy (MBT-CT) as practised at Tavistock Relationships combines an Object Relations psychoanalytic understanding of couple dynamics with a therapeutic approach which aims at increasing the mentalizing capacity of partners entrenched in a highly dysregulated relationship.
This paper will highlight the shift from interpretation to active questioning, and from promoting insight to stimulating self-reflection and curiosity. It will identify issues pertaining specifically to the application of MBT to couple work and explore the notion of a “borderline couple”. It will consider how psychoanalytic couple therapy and mentalization theory both emphasize, in distinctive yet complementary ways, the crucial role the early dyadic relationship with the mother plays in the development of thought and the ability to relate to another. It will also reflect on how the narrative at the heart of different theories relates to the way we listen to couples.
Key words: Mentalization – Projective system – Dysregulation – Dyadic relationship – Epistemic trust
Juan GONZALES ROJAS & Paloma DE PABLOS RODRIGUEZ (Espagne)
Psychic space and temporality in the Multifamily Group, convergence of biographies. Link memory and its relation to the unconscious.
The psychic space of the MFG brings and contains thought as presence and absence at the same time, generating an imaginary and a shared code that produce symbolism. There is a link memory (Ruffiot) and a duration (La durée de Bergson) and its relation to the unconscious and the various avatars of transgenerational transmission (Eiguer, Tisseron, Faimberg, Kaës). Our communication includes reflections about some clinical labels, from the work in Day Hospital, in therapeutic community, with patients with severe mental disorders and their families.
Time and space play here a essential role. During the sessions, multiple temporalities are simultaneously mobilized: the family biographies, the personal biographies of the therapist and the team members faced with the impact of resonances through listening. Also the temporality of the commun history of the team related to the process of the MFG history.
The space of the multifamily group is evocative and of new creation. It is a corrector of familiar places, in relation to the original fantasies, and in the redistribution of the “depositations”, discourses, social distances corresponding to the neoproduction of the group, a reorganization and discrimination of the intimate, private and public (Carel).
The work for the elaboration of these plans of realization of the psychism, of frozen situations and entrapment require the “catectización”, investment and frame work for a containment and support of this space of the re-creation of the link, and taking into account the intensity of the anxiety carried by the patients, we need a group conception on how to create the necessary containers to hold them and to manage them (Anzieu). This group conception must integrate thinking tools about the drive into intersubjectivity. The MFG has to be a place for the production of fantasy and figurability, a dream space, instead of the aggressive actings and the emptiness of serious patients; at the same time, a protective space from the inside, giving security to the participants, faced with destructiveness, and security against the outside.
We introduce several labels to show the confluence of the various temporal dimensions of the families, patients and the institution histories.
Key words: link memory, evocation, creation of figurability, group discourse, institutional container.
Hanni MANN-SHALVI (Israël)
New and Old in the couple’s interpersonal unconscious – Theory and Technique
Link theory and Object Relations theory understand differently how the couple’s personal history constructs their shared unconscious. The theory of intergenerational transmission of trauma adds an important layer to it. I will outline a theoretical integration of these three approaches.
Psychoanalysis is primarily concerned with the impact of past traumas. A focus on the future is usually attributed to other therapeutic approaches, such as behavioral, narrative, positive psychology, etc. I suggest that psychoanalysis, and couple and family psychoanalysis in particular, needs to complement the working through of past trauma with the working through of dreams and wishes regarding the future. This stage is also inherent in the working through process and has a central and unique place in our theoretical and clinical construction.
Through clinical vignettes, I will describe the technique through which the couple’s pathological structure goes through emotional development enabling the transformation to a more mature emotional structure.
Serge TISSERON (France)
Connected objects, new family stories
The omnipresence of screens in families creates new situations and conflicts. First, it creates new family responsibilities in terms of education, and can create new sources of tension, especially in the case of alternate care. On the other hand, children confronted by the insistent presence of new heroes, especially the YouTubeurs, choose their identificatory model earlier than in the family sphere, and develop a relationship with the world more dramatized than their parents and which can sometimes to strike at their incomprehension. The creation of links by physical proximity is replaced by that which is organized around shared centers of interest, with the appearance of “dead” families in which family ties are almost non-existent. Finally, family secrets find new spaces on social networks where they are sometimes lifted.
Key words: family, screens, technologies, identification, social network