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Abstract: The concept of “thought transference” has a special position within the psychoanalytic field. It is first an object on the sidelines because it originated in the psychical sciences of the late nineteenth century. It is also an object extracted by psychoanalysis to the darkness of the occultism, Freud considering the thought transference as being its true nucleus. But it is also a foreign body because even if it was apprehended by different authors, it remains poorly integrated into the psychoanalytic corpus. In this review of the literature, we try to show how this concept had first played a heuristic role vis-à-vis the theorizing of transference and countertransference. We then see how it was taken over by successive generations of analysts as well as heated debate it engendered, participating to the division of the field of psychotherapy. Finally, we will bring out the relevance of this concept in terms of clinical and current theoretical issues. [Copyright &y& Elsevier]

Abstract: The therapeutic alliance defines the mutual collaboration, a partnership, between the patient and the therapist with the aim of achieving the fixed objectives. This concept originated in psychoanalysis, and gave rise to intense debates. We propose a synthesis of these debates, since the first intuitions of Freud until the concept of intersubjectivity. This allows to update the arguments of a question which is not finally cut, but which finds however a way of expression in the researches concerning the analytical brief therapies. Indeed, the confrontation of idea essentially carried around the fact of knowing if the notion of therapeutic alliance was antinomic of the concept of transference. And if it was not, how it was possible to integrate it into analytical follow-ups (in premises or in complementarity with an analysis of transference movements). The question is not concluded, but if we consider that although it arrives, a certain collaboration is established between the patient and his therapist, then an analysis of this collaboration via the notion of therapeutic alliance is possible and can offer a glance on the relational dynamics independently of the question of the analysis of transference. It is this verse which the current researches around the therapeutic alliance from analytical follow-ups. [Copyright &y& Elsevier]

Abstract: With schizophrenic patients, the use of the pictorial mediation during individual session of psychotherapy makes easier the display of the transferential y counter-transferential relationship. These creations are truly a way to say what the patient is unable to express differently. The use of a media: mediator, mediation, malleable medium, constitutes a first level of symbolization. It is used as an intermediary between nonsense feelings and their elaboration through the speech. In addition, these pictorial productions throw light on the question of ideality in psychosis and on this kind of archaic transference of the narcissistic pathologies. [Copyright &y& Elsevier]

Abstract: The clinic of patients, victims of incest in childhood, invites us to question the fate of such psychical trauma and working-through issues offered by psychoanalytical treatments. Differentiation and articulation between the registers of the act and the factual reality, and those of fantasies and psychical reality, are at the heart of the psychoanalytical approach of incest. But, despite the theoretical contributions of Ferenczi on early trauma and because of a misunderstanding of the “abandonment of Neurotica” by Freud, psychoanalysis, until recently, has been accused of ignoring the specific sexual trauma by favouring only the psychical reality. A reassessment of this theory precedes a reflection on various figures of incest worked through in psychoanalytic literature: if the father-daughter incest is considered relatively often, mother-child incest, which is more rare in its genital forms, is nevertheless common on the form of perverted care, and is just as psychologically harmful. The difficulties of counter-transference work under intense transference reactivation show that the psychotherapist is attacked in his mental capacity to contain and associate. The particular destructiveness of incest trauma lies in its attack of the œdipal organization and its structuring value. [Copyright &y& Elsevier]

Abstract: Telepathic phenomena within the transference relationship with psychotic patients are regularly described by many authors, well-known serious psychoanalysts; many examples will be proposed. Telepathy was a noted subject of scientific studies between the end of the 19 and the beginning of the 20-century. Many examples got from the author''s clinical experience will show that in the frame of a long-term therapy with psychotic patients, some telepathic-like phenomena can occur. We propose to name “telepathic identification” such moments when the therapist stops to pay attention to his patient''s speech, monopolized by a sudden concern, and when the patient begin to talk about this very concern as if it was one of his own. Many explanatory hypotheses will be developed. The author emphasizes also the possible iatrogenical influence of the therapist''s mental objects, as well his concerns as his theoretical models. At last, the hypothesis of a “telepathic identification” is considered as a manner to avoid being abandoned by the therapist, a mechanism, which originates in the early mother-infant interactions. [Copyright &y& Elsevier]

Abstract: Pushing aside the strong glare, the blinding meaningfulness, and striving to restore a shadowy area will no doubt be the aim of treatment whenever – as is the case with psychotic patients – meaning, experienced as overwhelming, becomes disembodied and abusive. At that point, classic psychoanalytic treatment implies that the paradigm of transference interpretation be postponed for what may turn out to be a considerable length of time. We therefore have to revise our conceptions of the links not only between what is interpreted and what is not but also between destructiveness, creation and construction. Taking something in does not imply understanding but rather accepting that some part of the self needs to be changed. Initially, accepting the transference and its horrendous power does not have interpretation as its aim, but rather the shaping of the intense flow of the transference without becoming completely lost. The analyst will yield to an immaterial part of him- or herself – perhaps even to a kind of transparency – while waiting for the fragile texture of that web to become stronger. Access to the proximity of the object and to feelings requires a gradual restoring of the flexibility of regression that lies at the very heart of the transference encounter. The road is thereafter open towards a distant interaction with nothingness, sheltered by the founding experience of an indestructible link to the object. [Copyright &y& Elsevier]

Abstract: When dealing with children affronted by problems from individuation and primitive suffering, the pediatric psychiatry team has to consider paradigmatic changes in their psychotherapeutic practice. In order to be able to work towards subjective appropriation and firstly towards the internalisation of the presence or absence of the object, it is necessary to focus on psychic process rather than on the contents, and to pay more attention to inter-subjectivity in our counter-transference analysis. In these circumstances, where the borderline problems are crucial, the question of absence, the conflictuality of desire and the relationship are experienced during the interview with the child in the framework before the secondary process findings. [Copyright &y& Elsevier]

Abstract: The origins of a creative process dwell within an area of the inform which is absolutely necessary to tolerate from a therapeutic point of view, so that the subject, struggling with delirious productions and loss of boundaries, can progressively give a form to the inner chaos. There lies the aim and meaning of the aesthetic and theatrical course of some symbolic efficiency and to which transferential corporeity gives a frame for development. This article aims at showing a few thoughts on these moments of transition from illusion to reality and from reality to illusion. It is indeed a very singular experience which supposes the existence of an intermediary space, which psychotic mental organizations badly lack but which might nevertheless be (re)created with adequate care, thus building bridges between “imagination” and the process of symbolization, between the “real” and reality. Would these thoroughly provided cares allow the creation of “live aspects” and also the study of the nature of the failure of transitionality in our patients? Finally, can the Freudian “technique”, through the daily live experience, find some translatable analogy from one language to the other? Would psychoanalysis find it difficult to conceive that perceptions, actions and emotions can produce effects “close to the body”? Psychosis and borderline pathologies require such questioning. [Copyright &y& Elsevier]

Abstract: Psychotherapy of borderline patients allows us to observe that often, the intense affects, the rage and the lack of good internal objects prevent the mentalization of object relations that are confined to acting-out. Moreover, mentalization deficiency inhibits the experience of relationships with a good object in the transference, which often jeopardizes the continuation of the treatment. It is argued that these dimensions of borderline pathology can be better worked out by closely adjusting therapeutic interventions to the patient''s ability to mentalise psychological experiences, particularly with regards to positive transference. We explain our view that the capacity to mentalise in the transference a relationship with a good object is an indication of structural change. [Copyright &y& Elsevier]

Abstract: The psychoanalytical therapy of schizophrenic patients is traditionally based on the development of a positive transference and on an interpreting, holding analytic work. In this paper, we present the case-study of a patient for whom all “making-sense” work became persecuting. We will name this very ambivalent person an “alterno-valent” patient. Within this conflicting transference, only a humoristic approach allowed us to develop a trustful relationship with the patient. We describe the subversive nature of this relationship-humour, which is to take a completely opposite position to the analytical position, but to remain nevertheless attentive and empathic. We show further how this humoristic play serves us to interpret the transference. The humour-concept is assimilated to the Freud''s “Witz”. We refer further to the literature in order to describe the psychotic transference as an oscillating movement between “transference-erotomania” and the “let-down-position”, both also deleterious. We propose the idea that the therapist''s effort to make sense could induce in psychotic patient a psychic disorder who acts first as a defence (against the confusing pointing of the Big Other), second as a guarantee for the permanency of the relationship (the subject''s disorder engage the Big Other in an organizing work). We also use “the concept of “projective identification””-concept, which is considered not only as the projection against bad objects, and also as a mechanism that allows the projection of the working-out abilities. [Copyright &y& Elsevier]

Abstract: This paper deals with the object of psychoanalysis, trying to define the elementary conditions of this object in both practice and theory. The author emphasizes the notion of the object as a lack, and the concepts of repression and transference. He showns how the psychoanalytic conception of the object could enlighten some aspects of the contemporary clinical field. [Copyright &y& Elsevier]