THE LIFE AND WORK OF BERNARD W. BAIL, M.D.
by Lynda Share, Ph.D
Truth through interpretation is love, is comfort for despair, is security against terror, is growth in the face of death, is friendliness in the face of loneliness; it is, in short, the summing up of the most virtuous qualities developed by humanity in the course of history.
Bernard W. Bail
"To Practice One's Art"
Genius is
"a rare combination of unusual intelligence, remarkable insight, and
amazing inventiveness...It is also about creative thought, courage,
determination and a willingness to look at things from a new and surprising
perspective" (Goodwin 2005). In Roman mythology, genius is a guardian
spirit of a person, place or institution (Encarta World English Dictionary).
These
definitions portray the gifts of psychoanalyst Bernard Bail: a man with a
deeply spiritual center, a man of letters and a man of science, who began with
the study of literature and eventually devoted his life to psychoanalysis,
specifically to the study of man's unconscious. He felt there was nothing more
important than to understand -- to know the truth of how we became who we are,
how we live or do not live a life, and how we can heal often intolerable
suffering.
Dr. Bail
found the dream to be the sacred source of wisdom: a Rosetta stone of mental
life, recording every aspect of a person's existence and encompassing a life in
its entirety. His intensive, empirical explorations into the dream over the
course of five decades of psychoanalytic practice led to an innovative method
of conducting psychoanalysis at the deepest layers of the mind and brought
forth his remarkable discovery of psychological imprinting -- a discovery of
the most fundamental aspect of man's humanness as well as man's inhumanity to
man.
In 1942,
Dr. Bail had planned to become a teacher. But World War II changed
everything. Instead of flying to the Sorbonne, where he was to obtain a
doctorate in French literature, he flew to Germany as a lead radar navigator of
a B-24 Liberator Bomber. He was shot down twice, the second time on his
twenty-fifth mission. Captured by the Nazis, he remained a prisoner of war
until the liberation in May of 1945.
His war
experience changed the trajectory of his life. He decided to become a
physician, a childhood interest inspired by his uncle who was a physician.
During World War II, this interest was rekindled as he endured the experience
of being a prisoner of war and witnessed the ravages of war in his twenty-five
bombing missions. He decided that the capacity to heal human suffering was
paramount, and as he was completing medical school he chose psychoanalysis as
his specialty. He had become particularly interested in how the mind affects
the body, eventually concluding that they operate as one.
Like all
mainstream psychoanalysts of the 1950s, Dr. Bail was trained as a Freudian.
However, he treated two terminally ill patients psychoanalytically, and in
doing so, he put aside all existing rules and teachings of psychoanalytic
institute practice that indicated one was never to analyze a dying patient.
His article, "To Practice One's Art," was one of the first -- if not
the first -- published works in the psychoanalytic literature of an analysis
conducted with a dying patient through to the very end of life. Analyzing the
dying patient is now an accepted aspect of the conduct of psychoanalysis.
In the
early 1960s, Dr. Bail and several other Los Angeles analysts came to the
conclusion that something was missing in the strict Oedipal analysis Freud's
teachings prescribed. Their patients were not improving in the way they had
hoped. In fact, their patient’s progress seemed superficial. The analysts
felt guilty; they should be helping more.
They began
searching for alternative approaches to Classical psychoanalysis, and found new
perspectives in the English School and Object Relations theory. Pioneered by
Melanie Klein (1975) and Ronald Fairbairn (1952), respectively, both theorists
developed a view of mental life that included a complex internal world.
Melanie Klein located psychopathology in infancy, moving Freudian ideas of the
Oedipal complex into earlier years of development. Fairbairn, on the other
hand, considered the infant's need and capacity to seek human contact -- what
he called "object seeking" -- pivotal to mature development rather
than the negotiation of instinctual drives, as Freud would have it. Klein and
Fairbairn were looked upon with great suspicion within the psychoanalytic
community, which strictly adhered to Freudian principles.
By the mid
1960s Dr. Bail had become a central figure in establishing Object Relations
theory and practice in Los Angeles. In April of 1966, he invited and
underwrote the initial stay in Los Angeles of one of the greater thinkers of
Kleinian persuasion, Dr. Wilfred Bion. In the years that came before, as well
as during Dr. Bion's stay in Los Angeles, Dr. Bail underwrote the visits of
other distinguished London analysts to teach and train analysts in Los
Angeles. Throughout the years, in countless supervisions with Dr. Bion and
other Kleinian and Object Relations analysts, in weekly and monthly study
groups and in conferences and lectures, an ever-expanding group of Los Angeles
psychoanalysts explored new ways and methods of conducting psychoanalysis. Dr.
Bail himself spent twelve years in analysis with Dr. Bion until 1979, when Dr.
Bion returned to England.
But in
1979, something was still amiss. With twenty years of analysis and supervision
from all perspectives available at the time -- Freudian, Kleinian and Object
Relations -- Dr. Bail felt his work with his patients had not reached the
deeper layers of the mind, and thus had not led to profound change. Neither
had his own analysis. With great sadness about the dissatisfying outcome of
this all-encompassing, passionate, and challenging endeavor, Dr. Bail decided
he must go out on his own and begin anew.
Courageously,
he set aside all of what he had learned at the Institute, preserving only his
love of the dream, which he feels he inherited from Freud via his (Dr. Bail's)
Classical analyst, Carel van der Heide. As did Freud, Bail developed a
conviction that the unconscious was the core of mental life -- the wellspring
of human feeling, motivation, and action -- and the dream was the only way to
truly access this depth of being.
Freud had
begun his explorations into the mind by simply listening to his patients. But
then he felt that, in order to be accepted by the scientific community, he must
frame what he listened to within the context of the science of his time:
Newtonian physics -- energy theory (Holt 1973). As a result, the brilliance of
Freud's discoveries could not fully manifest. Freud's theory of dream analysis
(1900) required a narrow interpretation of each dream, largely confined to
drive discharge manifest as sexual and aggressive wish fulfillment. Such
confinement clouded the process of discovery and precluded the unearthing of
the immense richness of unconscious understanding of the whole human entity --
from the very beginning of life to the very end and everything in between.
THE DREAM
Dr. Bail
decided to begin as Freud initially did, by simply listening to his patients.
Also like Freud (1900), he systematically gathered detailed associations to
elements of the patient's dream, but did so without Freud's assumption that
each element served a disguising function. Thus he simply listened to his
patients' thoughts, their dreams, and their associations to the individual
elements of their dreams. In other words, he approached his patients
empirically, without any a priori theoretical framework regarding their dreams'
latent meanings.
There
are no preconceived meanings or symbols, but each word,
each dream element, each association is taken as new and
fresh as if one knew nothing at all, as if one were a newborn
baby. These disparate associations are then considered
in relation to each other, and seem to reveal a coherent
story that the patient's unconscious is trying to tell. (Bail
1993, personal communication)
As he
worked in this method, he viewed the dream as his "North Star,"
addressing with patients largely what emerged from their dreams. Doing so, he
found himself seeing and understanding things that had never been touched upon
in other theories, and he began to make interpretations of whatever he heard
and saw to his patients, even though he did not know how such interpretations
could be conceptualized psychoanalytically. He came to his understandings
entirely through experience, person-by-person, dream-by-dream.
He found
that every aspect of a dream is important and is integral to the meaning of the
dream. Nothing can be ignored or discarded. All the parts of a dream must fit
together and must illuminate the state of mind of the patient. He began to
track the effects of the analyst's interpretive efforts on the patients.
Abundant evidence accumulated over the years that the unconscious itself is
very precise, illuminating one or several specific issues that must be
addressed at any given time. Failure to understand the precise meaning or
meanings presented in any given dream emerged as a disorganizing experience for
the patient, just as a baby experiences its mother's failure to understand her
infant's cry of distress.
Dr. Bail
also pursued an unconventional method of working with patients in this process
of discovery: he encouraged them to examine everything he (Dr. Bail) said. If
something seemed a mistake, the patient was encouraged to voice this.
I
did not ask the patient to trust me or to have faith. I merely
would
say, "Think of what I am showing you, see if it doesn't make
sense in the light of what you have told me...keep your skepticism;
examine everything I say. I have no objections to that.
If you find a mistake in what I say, tell me and then we both will
look at it. The only way to get a true picture of your life is if we
understand it from the beginning and build it brick by brick. It
is important that I understand it, but it is much more important that
you do." (Bail 1999)
As Dr. Bail
describes it, he spent days and weeks struggling over the correctness of
interpretations. In the past, he had spent months, even years, agonizing over
aspects of theory from the different analytic perspectives. Which perspective
gave the most accurate understanding of the patient's mind? Which perspective
seemed most true to the patient's being? Most often interpretations of the
dreams from the extant theories were not entirely sufficient and lacked a deep
conviction for the patient.
He also
realized that to reach the patient, he must let go of a method of working
analytically that was considered a foundational element of Classical analytic
practice: the analyst's silence stance. Such a stance was considered an
essential aspect of analytic technique designed to prevent a disturbance in the
flow of the unconscious. Patients were left for days, even weeks with barely a
response from the analyst. Bail began to see that such a stance was analogous
to leaving a baby rather endlessly without a response from the mother -- an
untenable situation. He began to ask his patients questions to find out more
about their thoughts and associations. Bail found that posing questions did
not impede the flow of the unconscious. On the contrary, it provided him with
a deeper understanding of the patient's suffering and helped him to make more
precise interpretations -- a process that yielded a sense of unity and
integration to the mind.
What
emerged through this process of discovery was a broadened understanding of the
fundamental nature and content of the unconscious, and therefore of the scope
and use of the dream in psychoanalysis, than had been evident in Freud’s
drive-related Classical theory. Dr. Bail determined that the unconscious
encompasses the entire range of human phenomena. Along with wish fulfilling
fantasy, the unconscious contains representations of reality: not only
distortion based upon projection, but actual and accurate intuitions about self
and other – intuitions that require validation by the analyst for the patient
to begin to know his own mind.
Through his
depth work in the dream as well as from his observations and experiences of
patients in the consulting room, it came upon him that patients were largely
dealing with issues from their infancies. “When one went layer by layer
through to the source of what appeared as an adult problem, one consistently
landed in earliest infancy” (Bail 2001a). As he continued to navigate more
deeply into the dream, Dr. Bail saw that the unconscious goes as far back in
development as earliest infancy – even prenatal time – as patients’ dreams
began to reveal experiences in the womb and from their first hours, days and
weeks of life. He realized that adult patients were not just dealing with issues
from their infancies, but were in fact unconsciously living mentally in
these earliest experiences, as if their internal worlds continued to exist in
that very early time and space.
As he
described it, the patient “was a baby who could talk, but who was still a baby
in all emotional respects” (Bail 1999). In addition, he noted, to his
surprise, that the patient physically present in the room was often not
the person mentally present in the analytic session. Instead, the dream
material made clear that the patient was completely immersed inside the
personality of another, so much so that the patient did not really exist.
Thus, all interpretations given to the patient physically in the room would be
to no avail because mentally the patient simply wasn’t there.
The first
task at hand then became how to bring the patient, body and mind, back into the
room – back to a self in current time and space. This was often a formidable
task, as most patients (most human beings, actually) live their entire lives without
a real, present self.
Asleep to
themselves, often for a lifetime, Bail’s interpretations of patients’ dreams
began to “wake the patient up” so they could begin to develop their own minds
and their own selves.
Dr. Bail
concluded that the dream locates where in unconscious time and space the
patient is mentally living (such as in his infancy or early childhood), and,
when unconsciously not himself, who he is being (his mother, father,
grandparent, sibling, etc.). It also became clear to Dr. Bail that the
particular dream or dreams the patient would bring to any given analytic
session depicted the essential unconscious situation that must be
illuminated at that moment in time for the patient to “grow his mind” and to
“move forward in life.” Most significantly in this process, the unconscious
through the dream would bring forth the truth of the patient’s life,
representing the key to the individual’s sense of reality, unity and
integration. Thus, the dream in all its various aspects “finds the patient,”
and finding the patient brings hope.
In the
course of this work, Dr. Bail began to understand the process of interpretation
and the nature of the analytic dyad in a new way, leaving behind long-held
truths put forth in the Classical theory in which he was trained.
Dr. Bail,
among other contemporary theorists (Kohut 1971, 1977; Stolorow and Atwood 1992;
Renik 1993), observed that the analyst and patient were part of a two-person
field and that a mental exchange between the members of that field continuously
took place. There isn’t a blank screen with a “neutral analyst” and an “ill
patient,” as had been the thinking of Classical theory. Bail’s understandings
regarding this dyad, however, extended deeply into the unconscious nature of
the field, to the unconscious connection between mother and infant – in other
words, how the unconscious is passed to unconscious – mother to fetus and
infant, analyst to patient, and vice versa.
Thus Dr.
Bail found that the dream is not just the analyst’s royal road to the patient’s
unconscious; the dream is also the patient’s royal road to the unconscious of
the analyst. The infant will constantly “search” the unconscious of his mother
to try to locate the mother’s central unconscious anxieties now housed within
him. In whatever way he can, the baby will try to bring these anxieties to
light, calling them to the mother’s attention. Similarly, within the analytic
process, the patient will search the analyst’s unconscious, continually trying
to address the unconscious anxieties projected by the analyst into the
patient. The analyst must address and acknowledge these “analyst projections”
along with maternal and paternal projections as they arise during treatment.
Acknowledging
a patient’s unconscious findings confirms them, and develops the patient’s
capacity for intuition, which is an essential part of the patient’s authentic
self. These acknowledgments are not handled by way of the analyst’s
self-disclosure. Rather, they are addressed through interpretation of the patient’s unconscious perceptions as revealed in the patient’s dreams. The dream
is of real value here in that it provides a graphic portrayal of these
perceptions and can directly address the patient’s unconscious reading of the
analyst’s unconscious.
At times,
very painful, unflattering observations of the analyst may appear in the
patient’s unconscious. The fact that the analyst interprets these unconscious
perceptions in the same manner as he would any other unconscious perception
means that the analyst can be relied upon to tell the truth, regardless of the
nature of that truth. The patient experiences, often for the first time, that
what does not belong to his mental space is graciously acknowledged and thereby
removed. This allows for a true “mental space” in which the patient’s own
mental development can occur. The process can be truly transformative and
liberating for the patient – a relationship above all ego-saving
considerations, devoted only to the patient’s growth.
Finally,
Dr. Bail found, to his surprise, that, as analysis progressed and the patient’s
day-to-day problems had been addressed, a pathway seemed to open: patients
began dreaming about spirituality. Spiritual figures emerged in dreams along
with a wish on the patient’s part to engage in a higher consciousness. In a
certain sense, analysis appeared as a rediscovery of the ancient wisdom of the
shamans, who saw illness as a manifestation of the separation of the soul from
the body, and cure as an attempt to reunite these two elements (Ellenberger
1970). Dr. Bail’s patients’ dreams seemed to reflect such a process. He began
to feel that psychoanalysis was in part a spiritual endeavor.
In summary,
from his fifty years of psychoanalytic practice – working with hundreds of
patients and supervisees and listening in great detail to thousands of dreams –
Dr. Bail determined that the dream serves as a beacon, bringing us the truth of
our experience, the mental place in which we live, the human conflicts we are
to resolve, and the means by which we can evolve as human beings. Thus, the
dream provides an invaluable tool for the development of human meaning and
depth of personality, leading to the evolution of the individual’s own distinct
and integrated mind and self. Through his intensive effort, Dr. Bail came to
the first of two controversial conclusions: There simply is no analysis
without dream analysis (Bail 2001a).
THE PARADIGM
From his
deep explorations into the unconscious, Dr. Bail painstakingly evolved a
paradigm encompassing the nature of early mental life and the infantile origin
of psychopathology. His paradigm begins with two basic understandings of human
development. First, the baby comes into the world with a potential for
wholeness and integration. And second, the central concern of the infant and
the motivating force in the infant’s development is that of survival.
Patients’
dreams were confirming certain aspects of what Object Relations theorists were
describing (Fairbairn 1952; Bowlby 1958, 1973; Winnicott 1965; Balint 1968).
Psychopathology does not, as Freud described, begin at the age of two or three
and does not center in the love triangle of mother, father, and child; rather,
psychopathology “begins at the beginning” – in the earliest mother-infant
relationship.
Through
extended and detailed exploration of patients’ dreams, Dr. Bail located the specific unconscious origin of psychopathology. This origin emerged gradually in dreams
of patients deeply immersed in the analytic process over a long period of time.
Thus, psychopathology emanates from the unconscious connection between
mother/embryo and mother/fetus as well as mother and newborn. What is
unconscious, unwanted, and unbearably painful in the mother’s inner life is
unknowingly projected into her baby’s nascent being. And it is this painful
content that the baby must carry and live out such that who he or she was
supposed to become – the “spark of life” that was to be his or hers – cannot
exist.
In essence,
the baby must “take care of” his mother’s unconscious – hold it within his
mind. A mental connection between the infant and his mother that would lead to
the unfolding of the infant’s own “spark of life,” and eventual integrated mind
and an authentic self, is lost. Simply put, the baby cannot evolve into his
own being, occupied as he is with what his mother experiences as her
“unbearable being.”
The baby
has to abandon this potential for an authentic self because he must carry the burden of his mother’s unwanted self. This is the case because, first
and foremost, a baby will attempt to survive, In order to do this, he must save his mother. Thus, omnipotently he will try to rescue her by abandoning
his own baby self and becoming her. Only by “becoming his mother” and thus
mothering her does he feel he can ensure his mother’s survival, and,
consequently, his own.
The
forceful projections from the mother’s unconscious split or shatter to various
degrees the nascent mind of the infant and form an initial imprint on the
infant’s being in the womb and in the earliest minutes, days, weeks, or months
of the infant’s life – analogous, in some respect but not all, in the animal
kingdom to how animals imprint their young. (1)
According
to Dr. Bail, this imprint or signature – traumatic in nature and filled with
the mother’s great emotional pain and suffering – serves as the template for
all future repetition compulsion. The baby is forced to repeat the imprinted
trauma throughout his entire life. He cannot do otherwise. The past becomes
his present, his future, his destiny. His life is his initial imprinting by
his mother. It was the significance of this observation – that patients were
continuously living their adult lives in their earliest traumatic shattering –
which led Dr. Bail to his second controversial conclusion: There is no such
entity as an adult analysis (Bail 2001a).
The
adult of the patient before us – adult qualities, adult functions
– do not need analyzing. It is rather when adult function
is impaired that analysis is required….and wherever
adult function is impaired, there infantile trauma has been. All
emotional illness has its origins in infancy in the womb and
in the earliest hours, weeks and months with mother and then
with other family members…and one is simply and constantly
analyzing the infant in the adult. (Bail 2001a)
It may seem
as if this description is limited to the experience of the most disturbed
individuals. However, all human beings carry unconscious, unresolved, and
unwanted aspects to one degree or another. Imprinting is a universal human
phenomenon. Depending on the extent of the unwanted content and the
forcefulness of the projections, the baby’s mind will split or shatter to a
greater or lesser degree, and the baby will, to a greater or lesser degree,
carry its mother’s imprint. (Splitting here refers to a split into the
nascent baby Self and the False Parent-Self) The biological reality of the
fetus living inside the mother’s body for nine months makes the mother the
first and primary source of imprinting. The mother’s unconscious also holds
the father, siblings, grandparents, who will influence the infant and child in
their own right later.
Dr. Bail
observed that the infant who has lost touch with his own nascent being is a
despairing infant.
The
infant is in despair because he “knows” – in a way that babies
“know” – that the self he is supposed to be – the “spark of
real life” that is his – cannot exist. Thus, it is this despairing infant
we must reach if his dejection is to be overcome and the
spark of his essential being brought to life. (Bail 1999, personal communication)
To
reiterate: the transfer of painful feelings from the mother to the fetus,
newborn and infant is entirely outside the mother’s conscious awareness. The
mother, as well as the father and other family members, most often consciously
provide loving feelings for the newly emerging baby. But it is the unconscious
projections that are the source of pathology, creating many difficulties and
often much suffering in life for the vulnerable recipient of these
projections. It is this source of pathology that psychoanalysts must address
when patients come to us to heal their suffering, thus the specific focus on
the imprinting process. There are also many mothers and fathers who are
generally healthy individuals. Their imprints encompass less of the baby’s
nascent being than more disturbed parents, and the children of these healthier
parents will have a better opportunity to flourish as they grow.
THE STRUGGLE
In order to
find the nascent baby self lost long ago, in order to initiate this “essential
spark of life,” analysis first has to overcome the patient’s resistance to
change. And in order to overcome this resistance, the maternal imprint must be
overcome. This is an extraordinarily difficult task because the imprint
represents the infant’s tie to his mother. Thus, overcoming the imprint is
like leaving one’s mother, and to the baby within the patient, leaving one’s
mother is tantamount to death. Thus, movement toward growth and change is
terrifying. The individual will engage in self-destructive acts or will try to
throw away his chances for health and a sense of well being because he must
continue to live out this initial imprint. This is the way he assures himself
and his mother that he and she will survive and that he and she are still
together, still united as one.
The
individual must go through a transformation – a process of
integrating his mind, originally split by the many maternal projections.
To comprehend the difficulties of undertaking such a
process, we must revisit the emotional experience the baby endures when his mind is so forcibly split. The sense of
pain the infant feels can only be compared to the splitting of the atom, a splitting undeniably accompanied by tremendous heat, noise, chaos, etc. – an overwhelmingly explosive, fragmenting, and shattering experience.
As the years go by, this baby-self now living within a
grown-up person remains, with the shattered effects of his infantile experience within him. If he wishes to integrate, he now
has to undergo this catastrophic experience yet again, because the process of reintegrating a split mind creates the same
nuclear force, as did the original experience. This is one reason
for the great fear of integration and transformation – the reason
the individual may prefer to go through life covering the
shattered effects inside. For those who wish to proceed with
integration, the process is long and must go deeply, to the very core of
human existence. (Bail 1999, personal communication)
The
day-to-day struggle between striving for health and returning to the maternal
imprint is profound. At the height of the struggle, one often sees, hears, and
feels the presence of the maternal imprint so vividly in the consulting room
that one can hardly find a single speck of the authentic self that had begun to
emerge in earlier weeks or months of analysis.
The baby
within the adult patient must begin to know and experience in an unconscious as
well as conscious way the mother-infant imprint and how it has informed all of
the patient’s life such that the patient may gain courage to mount a fight for
his or her own mind and self and to face a “death” of the parental imprint.
Only if the patient lets go of the maternal imprint will he or she be able to
overcome despair, light the spark, and experience his or her own true life.
THE ANALYTIC PROCESS
It began
with the dream, and to the dream we must return. What began as a tool for the
discovery of the origins and processes of psychopathology became Dr. Bail’s
vehicle of cure. For it was through the patient’s dream that Dr. Bail could precisely locate the infantile trauma and pathological identifications comprising the
maternal imprint, as well as the nascent baby self occupied by these
identifications.
Through the
interpretation of a patient’s dreams, which contain the patient’s own
unconscious knowledge, Dr. Bail could portray the back and forth movement – the
patient’s attempts at growth and subsequent return to the maternal imprint.
The unconscious thus made conscious allows the healthier adult aspects of the
patient to process the traumatized infantile aspects.
Bail found
it important not to try to fight the fierce resistance to change, but instead
to begin talking to the healthy aspect of the baby in the individual, no matter
how limited that healthy aspect may be, facilitating its growth and expansion,
while disclosing a myriad of pathological identifications to the patient. This
ongoing detailed work in the unconscious prepares the patient for the upheaval
that must occur in order to experience a true transformation.
THE IMPLICATIONS
Many
individuals before Freud addressed significant elements of the unconscious and
dream theory, but it was Freud who became the “discoverer” of dream analysis.
We could say similarly of Dr. Bail. Many analysts and theorists contributed
elements seen in Bail’s understanding of dream theory and technique, and many
expanded the theoretical conclusion of the dream beyond Freud’s wish
fulfillment. So then why do I say that Dr. Bail has “an exceptional position”
in psychoanalysis – a position that derived from his unique analytic
understanding of dreams and the unconscious?
Dr. Bail is
the only psychoanalyst since Freud that I can find to date within mainstream
psychoanalysis who has brought a contemporary, systematic, and comprehensive
approach to the analytic endeavor centered in the dream. Thus, he retained the
unconscious and the dream as the central focus of analytic work, with a
rigorous application of Freud’s technique of following details of patients’
associations, while at the same time widening and deepening the scope of the
dream – and therefore of unconscious meaning – to the entire breadth and depth
of the human experience. His exploration into the nucleus of the unconscious
via the dream led to a deeper appreciation of the role of the beginning of
mental life and the specific nature of the mother-fetal, mother-infant tie that
forms the universal core of psychopathology. His work demonstrates the
importance of women – of mothers – to the human experience, a far greater
influence on the nature of humankind than had been previously considered (see
Bail, “A Call to a Feminine Paradigm,” 2001b).
Dr. Bail’s
consistent focus on the dream led to the unfolding of spirituality through the
unconscious. His discoveries did not come from a preformed theory, rather the
reverse: his theory of psychopathology is an outgrowth of a systematic method
of working in the unconscious applied to each patient and in particular to each
patient’s dreams. Thus, like Freud, he refined a clinically meaningful
procedure to treat patients as well as to understand the nature of mental life
and the human struggles facing all of humankind.
Dr. Bail’s
discovery of a psychological form of imprinting, which derived from his work in
the dream, has manifold implications for the entire life of an
individual. The way we choose to live, who we are, and how we die goes back
directly to the maternal imprint. Overcoming our individual imprints may be the
most challenging and rewarding venture in life, one that brings to our
existence a profound experience of love that gradually manifests in the
flowering of a true self- a sense of unity and integration, a spiritual center,
an experience of harmony and internal peace.
Imprinting
has implications for humankind as a whole. It explains all that seems
inexplicably horrible and horribly inexplicable about us, our societies, our
world. Throughout human history, our compelling need to reenact the internal
violence we experienced as infants is reflected on a larger scale in the
violent world disorder: hatred between groups, war between nations, bloodshed
of all manner. Working to overcome our imprints may begin a very long and
arduous process of manifesting a more solid foundation within and between
countries and regions of the world – a foundation based upon truth,
brotherhood, and a sense of unity among all of humankind. This would lead to a
world motivated by love rather than hate, a world united in understanding. But
obviously, this is a vision for the future.
In March of
2006, Dr. Bail’s analytic theory was given validation by a new scientific
theory and its accompanying date. The work of evolutionary biologist David
Haig (Zimmer 2006) at Harvard University demonstrated that the mother can
unconsciously turn on and off the genes of her fetus. His theory is presented
in the context of understanding the difficulties in pregnancy – what he terms
“the silent struggle” – in which the mother and her unborn child engage in an
unconscious struggle over the nutrients the mother will provide her fetus. The
implications of Dr. Haig’s scientific work – that the mother’s unconscious can
determine the manifestation of the individual’s biology – is revolutionary and
brings scientific validation to an integrated psychoanalytic theory.
We might
speculate that just as cosmologists changed our view of the workings of the
external universe, the understanding of psychological imprinting, accompanied
by the evidence from newly emerging scientific data, may eventually change our
understanding of the workings of the internal universe, with the hope that a
better understanding of our inner world will bring hope for a better life for
the individual and better world for humankind.
Let us go
there. Together. Step by step. Dream by dream.
Lynda Share, Ph. D., is a
fellow of the International Psychoanalytical Association and the author of If
Someone Speaks, It Gets Lighter: Dreams and the Reconstruction of Infant Trauma (The Analytic Press, 1994). Dr. Share is in private psychoanalytic practice in
Beverly Hills, California, and has taught and lectured on dream analysis at
institutes in the U.S. and abroad.
Footnotes:
(1) Imprinting was initially
articulated by Konrad Lorenz (1952/1997), an ethologist who discovered that
many birds and mammals are born with an innate “following response,” that is, a
response to follow the first moving object seen – usually the primary
caretaker, the mother. During this “critical period” of development at the
beginning of life, the newly born or newly hatched will follow what it sees so
closely that it takes on all the caretaker’s characteristics and thus “becomes”
that which it follows.
John Bowlby
(1973) applied the ethological concept of imprinting to humans. He theorized
that human infants are “hardwired” to “follow” their mothers, that is, the
human infant is biologically programmed to attach to its mother (and become
like its mother) at the very beginning of life. Such attachments, or
“following response,” is a behavioral manifestation that helps to ensure the
infant’s survival.
Dr. Bail’s
psychoanalytic concept of imprinting originates from a different perspective
and an entirely different emotional experience than Bowlby’s concept (Williams
2002). According to Dr. Bail, human imprinting is not a behavioral response on
the part of the newborn. The infant does not just “follow” the mother.
Rather, from Dr. Bail’s psychoanalytic explorations, imprinting is a deeply
unconscious process that originates within the mother, such that
unwanted aspects of her unconscious are projected into the baby. Thus, for the
baby, imprinting is not a “reaching toward” another human being. It is rather
an imposition from without that dismantles to one degree or another the
baby’s nascent being. Rooted in trauma, imprinting is not a “natural process,”
not a force for life. The baby must “become” its mother, not because he
“naturally follows her” but because he must carry and live out very specific
aspects of her unconscious (and thereby feels he is rescuing her from immense
suffering) in order to ensure her survival as well as his own.
In addition to
personal communications, source material for the Foreword includes the
following:
Written by Bernard W.
Bail, M.D.:
A History of Object
Relations in Los Angeles (videocassette 1990);
When Bion Left Los Angeles
(1999);
The Mother’s Signature
(2001b/a);
Psychoanalysis: A Call to a Feminine Paradigm (2001b);
Toward a Unitary Theory of
Body and Mind (2002);
Bernard W. Bail, M.D.: A
Biographical Sketch (2005 unpublished data);
Written by Lynda Share,
Ph.D.:
The Psychoanalytic Theory
and Method of Bernard W. Bail, M.D.: An Overview (2001)
Written by Susan L.
Williams, Ph.D.:
A Psychoanalytic Concept of
Imprinting and its Distinctions (2002)
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