Related Experiment Video
Updated: May 30, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Reflections on the clinical implications of symbolism
Elias M da Rocha Barros1, Elizabeth L da Rocha Barros
1erbarro@terra.com.br
Abstract:
We start by stressing the idea that the process itself of constructing the symbol in its different components and its vicissitudes is centrally important to contemporary psychoanalysis as symbols are essential for thinking and for storing emotional experiences in our memory and for conveying our affects to others and to ourselves. Our implicit idea is that internal attacks are not directed only at the internal objects, but also include attacks on the structure or forms of the mental representations before and while they become constituted in symbols. It is by this means that destructive impulses invade the processes of symbolic construction. Symbols can lose their plasticity and thus silence the emotions and therefore cut off the patient from their meanings. Our clinical material allows us to increase our understanding of how the formal qualities of symbols operate in mental life, and how they can interfere in the capacity to work through emotional experiences. Finally, our reflections based on the analysis of a patient with difficulty in relating with the meanings of the symbols he produced will highlight the importance of the analyst's reverie along the process of formulating an interpretation. This paper is also part of a development in the study of the process of reverie.
Related Concept Videos
Jung's Analytical Theory
Dreaming
Freud's Psychoanalytic Theory
Freud's concept of psychic determinism asserts that...
Impression Management Techniques I: Managing Appearances
Patient-centered Care
Psychodynamic Therapy
