The therapeutic imagination: Freud, Coleridge and Eliot in conversation Jeremy holmes University of Exeter UK.

The therapeutic imagination: Freud, Coleridge and Eliot in conversation

Jeremy holmes

University of ExeterUK

Oberon and Titania reconciled

Theseus’s speech

‘And as imagination bodies forth The forms of things unknown; The poet’s pen Turns them to shapes, and gives to airy nothingsA local habitation and a name’.

Imagination

• Impersonal : an ‘it’ rather than an ‘I’• Corporeal: we think with our bodies

(Dimascio)• Embodiment and language: the ‘pen’ trans-

forms vague shapes into definite forms; gives ‘body’ to our half-glimpsed scraps of ideas; names as signposts to shared meanings

Imagination, romanticism and the psychoanalytic tradition

• Kant and Schelling• Coleridge• Sharpe, Bion, Winnicott & Rycroft• Britton, Waddell & Ogden

Coleridge: from romantic quest(ion)er to sage of Highgate

Key phrases

• Coleridge: ‘reverie’; ‘willing suspension of disbelief’

• Keats: ‘negative capability’; ‘capacity to remain in doubts mysteries and uncertainties’

• Jung: ‘active imagination’• Bion: ‘beyond memory and desire’• Ogden: ‘dreaming the patient’

Mary Ann Eliot

Deronda

‘He longed now to have the sort of apprenticeship to life which would not shape him too definitely, and rob him of the choice that might come from a free growth…Deronda’s demerits were likely to be on the side of reflective hesitation…’.

Sadler: Thames at Richmond 1860

The encounter• ‘eyes were fixed on the river with a look of immovable

statuesque despair’ • ‘he felt an outleap of interest and compassion towards her’ • ‘‘I should not have forgotten the look of misery if she had been

ugly and vulgar”

• …‘solemn passivity’… ‘half-speculative, half-involuntary identification of himself with the objects he was looking at’…‘shift his centre til his whole personality would be no less outside than the landscape’.

Continued…

• “Don’t be afraid…You are unhappy…Pray, trust me…Tell me what I can do to help you…But I fear you will injure yourself staying here. Pray let me carry you in my boat to some place of safety.”

• ‘The agitating impression this forsaken girl was

making on him stirred a fibre that lay close to his deepest interest in the fates of women – ‘perhaps my mother was like this one’’.

Breaking the silence• ‘they went along swiftly for many minutes without speaking’.

• “I like to listen to the oar” “So do I’’“If you had not come I should have been dead by now”… ‘Deronda was mute: to question her seemed an unwarrantable freedom…’.“I want to know nothing except what you would like to tell me”.

“This morning when the light came I felt as if one word kept sounding within me ‘Never’ never!’ But now – I begin – to think” her words were broken by rising sobs – “I am commanded to live…”.

Conclusion

• The Maenads: ‘…outworn with their torch-lit wanderings they lay down in the marketplace, and the matrons came and stood silently around them to keep guard over their slumbers…He could trust the women he was going to for having hearts as good’.

• ‘…how to make sure that snatching from death was

rescue? The moment of finding a fellow-creature is often as full of mingled doubt and exultation as the moment of finding an idea’.

Therapeutic Imagination: stages

• Primary attachment; Whitman’s ‘inspiration’• Reverie• Logos• Decision• Reflection

Primary attachment

• C.f. primary maternal preoccupation• The care-giver dynamic: reciprocates secure

base search when stressed, threatened, ill• Levinas: ‘me voici’.• The working alliance

Primary attachment

• Protected space, literal and psychological• Focus• Contingency + marked mirroring (PCM)• Sensitivity & responsiveness

Reverie

• Franzen: ‘What is fiction, after all, if not a kind of purposeful dreaming? The writer works to create a dream that is vivid and has meaning, so that the reader can vividly dream it and experience meaning'.

• Ogden: dreaming the patient• Deronda’s motherlessness resonates with

Mirah’s – ‘countertransferential third’; ‘relational reverie’

Reverie

• The vantage point: seeing yet safe• The dialogical position: availability, non-

intrusive support, encouragement (Feeney)• Creating a shared transitional space• The ‘negative capability’ that goes with

security• Allowing thoughts and feelings to arise

spontaneously, within and between

Mabel Alvares 1925: Reverie: the inner eye(I)

Coleridge on imagination

• The ‘thin blue flame’ in frost at midnight

• Imagination v ‘fancy’: Imagination ‘dissolves, diffuses, dissipates, in order to re-create’; fancy: ‘receives all its materials ready-made’ .

• C.f. protocols and ready-made risk assessment forms versus holistic engagement

Logos: the flesh made word

Logos (not the plural of logo!)

• Traumatised Mirah (kidnapped and abused by her father; fruitless search for her dead mother) finds her words through Deronda’s capacity to hold back and respect her silence

• He provides the container, the secure base, which means that sorrow can be given words rather than enacted through suicide

Logos

• The paradox of language: language that pinions, language that liberates

• Mentalising and ‘meaning holism’• Language as linking: ‘in the beginning was the

dialogue’• Speech, gesture, metaphor as bridges

between two inner worlds• Language as affect-regulatory

Decision/action

• Stepping back from ‘equivalence mode’ to mentalising

• Imagination a) enhances range of possible actions b) factors-in the role of ‘mind’.

• Therefore misery does not equate to suicide. • Decision: for patient and therapist: is psa the

best treatment for this patient?

Action

• Speech and silence as action• Boundaries as action• Actions as Ainsworth’s ‘appropriate sensitivity’• Awareness of context beyond therapy

Reflection

• Psa as a ‘school of suspicion’ (Ricoeur)• Deronda needs to think back on the whole

process• Perhaps it was because he was just attracted

to the girl.• Perhaps death is, under some circumstances,

preferable to life

Reflection

• Role of therapist’s self-mentalising• No absolute ‘Newtonian’ psychotherapeutic

stance• ‘Supervision’, whether internal or external,

integral to psychotherapeutic process

Conclusions

• Therapeutic imagination as a five step sequence, cycling throughout clinical work

• Reverieans (Bion, Winnicott, Ogden, Waddell) influenced as much by Coleridge as Freud

• Validates the inner world of therapist and patient as vital component of healing

• ? Nostalgia for forgotten world – or new avenue for modern neuroscience

Freud and Coleridge

Thanks…

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