The stranger

This work concerns a nine-year analytical experience with a patient who presented as a main feature an apparent inability to experience and express feelings. Right from the beginning the author was confronted with the question of the viability of analytical work, considering transference or emotional involvement in the absence of perceptible establishment of an affective link on the part of the patient. The patient never missed a session, was usually very punctual and presented very rich material, but the accounts of his life, everything he was saying, hearing and observing was manifestly deprived of any emotional meaning for the patient and consequently deprived of sense for the analyst. If, at the beginning, the question was how to communicate with the patient, after some time it became a problem of how to enable the patient to communicate with himself. Confirming an observation by Bion that the patient is the best colleague the analyst can have, the way forward was indicated by the patient himself. This article is a theoretical exercise based on this clinical experience, using concepts developed by Bion, Ferro and Winnicott.