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Updated: Aug 5, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Notes on Interpretation and Conversation in Clinical Work
Giuseppe Civitarese1,2,3,4, Matteo Franchino5
1, Piazza A. Botta, 27100, Pavia, Italy. gcivitarese@gmail.com.
Abstract:
The paper delves into the dynamic interplay between interpretation and conversation within the frame of post-Bionian field theory. It highlights the crucial task of discerning whether the emotional atmosphere, the quality of the therapeutic bond, or the "basic assumption" that is active in the analytic dyad foster or hinder psychic growth. It underscores the significance of "becoming" and emotional resonance, as elucidated by Bion's concept of "at-one-ment," over mere intellectual accord and factual knowledge. The pivotal moment of interpretation hinges more on the analyst's "silent" receptivity to the unconscious currents within the analytical field, rather than on explicit elucidation to the patient. Drawing from an intuitive grasp of the unconscious emotions shared between them, the analyst engages in a dialogue with the patient that aims to be both meaningful and potentially transformative, to enrich the couple's ability to symbolize lived experiences.
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