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Kalita, L. (2018). Between the Body and the Mind: How to Listen to Difficult Patients?. IJP Open, 5:48.

(2018). IJP Open, 5:48

Between the Body and the Mind: How to Listen to Difficult Patients?

Lech Kalita

This paper presents a possible method of working with patients who insufficiently profit from ordinary, traditional methods of analytic work based on a joint search for and co-creation of meaning of verbal material. Paper is focused on working with disturbed patients who tend to communicate their emotional experiences in non-verbal way: through behaviour, movements, bodily sensations, body postures, and so on. Author's approach is based on two foundations: Riccardo Lombardi’s clinical perspective, stemming from the theories developed by Wilfred Bion and Ignacio Matte Blanco, and work of American developmentalists who introduce conclusions from infant observation into psychotherapy of adults. Author's reflections are supported by observations made by Pauline Oliveros, an American composer and thinker, on the nature of listening in the context of the practical dimension of attuning and detuning. In order to illustrate the proposed method of work, author presents detailed excerpts from psychotherapy sessions with a female patient, in which the technique based on the theoretical premises indicated above resulted in a significant move towards constructing a more coherent identity and a clearer sense of self

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