WHEN BION LEFT LOS ANGELES
by Bernard W. Bail, M.D.
When
Dr. Bion left Los Angeles in September of 1979,
I found myself in a quandary. I had had
twelve years of analysis with him and, before
that, eight years with Dr. Carel van der Heide. Although
Dr. Bion to my knowledge never said he was a
Kleinian, he was certainly as familiar with Klein’s
work as any of those who claimed to be. As
for Dr. van der Heide, he was what we call a
classical Freudian. I had four years as
a candidate with him and, after I was graduated,
about four more years. By this time I’d
begun to read Fairburn and Klein and it seemed
to me that these two held the answers to all
that was still unanswered in my mind and in my
life. This was in the late fifties and
early sixties. I will not go into detail
about the various people of the English school
who came to Los Angeles, for that has been detailed
elsewhere. Suffice it to say that with
all of them I had as much supervision as I could
have had. The problem was that I never had a
Kleinian analysis, so there was no foundation
on which to put the supervision, other than an
intellectual one. I’ve since discovered
that intellectual understanding may sound good
in the journals and lectures, but for me it just
does not work in the consulting room. So,
there I was with twenty years of analysis and
years of supervision, but since all of this did
not help me I could not see how any of it could
really help anyone else who came to me for analysis.
Now I have
a confession to make. On writing this down
for the first time I realize that unknowingly I’d
come to these conclusions years before Dr. Bion
left Los Angeles; I had already embarked on a new
method of working long before Bion left. This
was some time in the early seventies. There
were two things I was convinced of: one, that there
was an unconscious and two, that the only way to
access the unconscious was through dreams. Freud
showed me the way to do this via Dr. van der Heide,
whose great love of dreams I have inherited. I
decided to forget everything I had learned in the
institute, for it was of no use to me, and I decided
that Bion’s interpretations to me did not
lead me into the deeper levels of my mind. This
was also true of the work with Dr. van der Heide. Though
I attended my sessions, I did so out of intellectual
curiosity and a deep feeling of affection and respect
for the integrity of these two men. There
was nowhere else to go and there was always a chance
something might break through. To his credit
Dr. Bion did acknowledge that fundamentally he
had not helped me. We continued to work until he
left. I was sad to see him go but it was best
for me, for it left me entirely on my own to pursue
my path. I’m very grateful to Dr. Bion,
for what he did teach me was how to think and it
was these two pathways--a way of thinking and a
love of dreams--that helped me on my way. I certainly
did not have any respect for them in what they
were teaching. I knew the information they
were passing on was useless; they were whistling
in the dark. I began to notice as I did my
work that as I paid more attention to the dream,
it yielded more and more information, which I was
able to convey to my patients. Why could
I not use Freud’s method to listen in a way
that was unbiased, simply, purely, and to see where
my thoughts would lead me.
I began to
ask the patient more questions in the consulting
room. I was taught that the analyst has to
be silent so as not to interfere with the patient’s
flow of associations. I violated this dictum. Early
on I became aware that doing this did not alter
the deep and powerful flow of the unconscious. Actually
questions dip into it the way we dip into a river. The
flow is not really diverted but the questions would
bring rewards, more information. Almost nothing
diverts the powerful flow of the unconscious mind. In
my analysis with Dr. Van der Heide he would be
silent for nearly the entire hour and then make
a remark or two at the very end. Many times
he would not say a word. I learned to do
this without complaint; it was, I guess, the way
analysis was done. I was a good student. I
later came to understand, however, that the analysand
is in exactly the same position as the baby, and
babies should never be left unattended. As
I began to ask questions, I noticed that I would
get a surprising amount of the information I needed
to make an interpretation that would make sense,
not only to me but to the person on the couch,
who is, after all, the only one to whom it matters. The
nature of the question is of paramount importance.
In the course
of the work I decided I would only make interpretations,
not on a guess, not on the intuition that is today
called counter transference, which I find useless. I
decided to make an interpretation only when I could
prove the interpretation on the basis of what I
had heard from the analysand. This I found
to be the only sound and safe way to work. Always
to be grounded on the material which had come to
light from the work. 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.” I
always said, “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.”
I want to
convey to you that here it all sounds easy and
straight forward. It was not easy. There
were days and weeks of my agonizing over an interpretation;
in what framework should I cast it? In a
Freudian one or a Kleinian one or a Fairburnian
one? It was not easy for I was coming to
conclusions that I had not learned in any one of
these structures and it was a fearful time for
me as I went on saying things that had not been
said before, as far as I knew. It took several
years of constantly scrutinizing my material, running
through a variety of interpretations that might
fit, but always I found that the interpretation
of a dream in a Freudian or Kleinian framework
did not answer all the conditions of the dream.
I cannot tell
you how many months and years I agonized over Klein’s “death
instinct,” for instance, which I would see
evidences of in the material. Then I would
waver: yes I should say it, no I can’t, where
can I go with that and then a new idea was forced
upon me by the material, by the dream. I
always let myself be guided by the dream, which
was my North Star. I felt convinced that
if I stayed with that knowing which was a product
of the unconscious mind I would, if I persisted,
get the right answer and I also discovered that
all the parts of the dream, all have to fit. There
can be no part about which one says, we do not
need that, or this piece which I can’t understand
is useless or unimportant. All the parts
have to fit.
As I continued
to work this way, I noticed that sexual material
diminished. I noticed that there was no such
thing as an Oedipal struggle and this was indeed
hard for me for I had let go of all the foundations,
all the familiar landmarks that years of study
had awarded me. I was on the open seas with
no land in sight, with faith that if I kept going
there would eventually be a landfall. I noticed
that as I worked it was an absolute necessity to
make a pinpoint interpretation. I could see
that if I did not make the correct interpretation
then the succeeding dreams would show it and I
would have to say that I was wrong. In addition
I was doing a great deal of supervision during
these years. These were the seventies and
I could see the verification of my office work
in the cases brought to me for supervision. During
these years, although people attempted to say I
was a Kleinian or whatever, it was clear I was
not making the usual Kleinian interpretations. It
also became clear to me as time went on that infants
do not have an instinctual hatred for the breast,
but it was to take time before I came to a clear
understanding of that situation. I took pains
not to theorize nor to run ahead of what I’d
learned from the work so that everything I knew
was based on experience, not on a theory. I felt
if I continued all the answers would come.
I began to
see after many years that the material of people
I was working with became more and more discernable
as infantile, though it was cast in adult terms.
It was as if the child or baby had put on the clothes
of an adult and was talking. This quality
began to intrude upon my ears--it was found in
an inflection, in an emotional tone. It might
have been as well in a fragment of a dream or it
might have been in a gesture on the couch or in
the way the person came into the consulting room
and laid down. Little by little this knowledge
was borne in on me until I could see how infants
began to identify with the adults in their lives--that
is the parents, that is the mother, naturally. Again,
I noticed in the supervisions I was doing that
merely saying something would not necessarily bring
us to a deeper level. I realized after a while
that one had to say exactly the right thing for
the door to slide open. It was not long before
I realized that I was working with a baby who could
talk, but who was still a baby in all emotional
respects. From here many things became clear,
that in the main people are struggling with the
issues of their infancy, issues that could never
be addressed since they were never brought to the
surface. To talk about these issues intellectually
would be of no use, for only when the infantile
core, which is the emotional core, is available
can something be done through interpretations.
After a while
of working at this level it became clearer and
clearer to me that babies’ minds have to
split almost at birth, maybe even before, in order
to accommodate a mother who is beset by emotional
disturbances—and, of course, who amongst
us is not beset by emotional disturbances. As
a matter of survival, all infants have to insure
that their mothers will live. Though the
gesture is only an omnipotent one, the infant has
to take care of his or her mother. Later
in life many of these people become caretakers,
the saviors of everyone’s life, usually instead
of their own. It became clear to me that babies
are not born with a destructive, envious instinct. In
fact, if such an instinct is there, it is a projection
of the mother into the baby, who suffers great
pain at this projection and all the rest that follows.
The baby is born whole, as a creature from God,
as are all of God’s creatures. Yes, I do
believe in God, there is in my mind no doubt about
that.
To ensure
the survival of the mother the infant now has to
become the mother. Then the infant knows that
he or she will live. All of this is unconscious
in the baby’s mind and though the infant
feels that a big problem has been solved, which
it has not been, the infant will indeed live. The
consequences that follow will trail the infant
all the rest of its life, for s/he will have a
life long identification of being the
mother. The mind will be split, and the entity
it was supposed to be will never come into existence. It
is this problem that one comes to in an analysis
that has gone deeper and deeper to the very core
of one’s existence.
As an important
aside it follows understandably that the baby becomes
an expert tracker of the mother’s mind. The
more conflicted her mind the better at tracking
the baby becomes. Then it is clear that the person
or the baby-in-the-person is a good tracker of
the analyst’s mind and when the analyst is
sorely beset, that anxiety in him or her may show
in the dream of the analysand. It is best
to acknowledge that, as the dream shows, the patient
feels the analyst is in difficulty. This
is not a time for true confession, however; there
isn’t any such time, as a matter of fact,
for the analyst. One simply points out to
the patient that this is how the patient feels;
it is important for the patient’s feelings
to be acknowledged and this acknowledgement helps
to give confidence to the patient that his or her
intuition is correct. It’s important
to build confidence in the person’s intuitive
self, especially since it is the true self that
is all part of making the mind of that individual.
You see, the
baby has been imprinted with the mother, it has
been imprinted in the way it is to live and to
die. We are all imprinted in these early
moments and hours of life. In this early
time the infant goes deeper and deeper. Konrad
Lorenz found this to be true of birds and other
species, and I say it is true of mankind as well. In
this we are all God’s creatures under the
sun. The principle is the same. It
is simply the law of economy at work. We
hide our imprinting by our brains, by our intelligence,
but a deep analysis uncovers surely and slowly
beyond our technical knowledge and our cleverness
the simple fact of our being imprinted. Now it
is clear that every person’s problem in life
is not the Oedipal struggle. The problem
is in how to find the spark of self that he or
she was supposed to be as they came
into existence, and the central issue is how
to become oneself. It is over this
issue that the patient puts up the greatest struggle. Confronting
this fundamental conflict is the most frightening
task for the patient and for every human being. Here
they have to give up everything they have known
from birth. They have to lose all landmarks
they have known, they have to renounce the imprints
of the mother and father they have known. It
is only through a renunciation of the false self
that a true transformation ensues. Short of
this, if the choice is made by the patient not
to sail on this journey, a fundamental change,
a true transformation, will not be made.
Understandably
the analysand will begin to attack the analyst
long before this because he or she intuits where
the analysis is going. Here all the strength,
the skill and the experience the analyst can muster
are important to hew to the truth of the dreams,
for the truth will all be there in the dream.
Copyright © Bernard W. Bail, M.D. 2005
June 1999
(WB2005)
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