ABSTRACT

This comprehensive volume presents Richard M. Billow’s unique contributions to the theory and technique of psychotherapy, along with summaries and explications by the volume’s editor, Tzachi Slonim.

Through their behavior, therapists define the clinical culture: how relationships are to be regarded and the depth to which narratives and exchanges may be considered. Known for his integration of Bion’s metapsychology with contemporary psychoanalysis, Billow extends our understanding of "relational" to include the emotional relationships people have with individual and collective ideas, and the behaviors attached to these ideas. "Doing our work" (the title of the last section) involves the therapist’s whole being, including cognitions, dreams, words, deeds, and very presence—mental and somatic. Drawing on Lacan, Billow suggests that therapeutic work ought to include a willingness to penetrate other minds with provocative, controversial ideas. His clinical vignettes portray a masterly clinician-in-action, describing his evolving feelings, thoughts, and assessments.

Billow’s intimate knowledge of Bionian theory, coupled with his down-to-earth demeanour and clear writing, allows him to explicate and expand upon Bion’s important contributions in a manner accessible to the novice and expert therapist alike. With one eye on therapeutic process, and the other on each participant including the therapist himself, Billow invites each of us to change our minds.

chapter |7 pages

Introduction

Changing our minds

part Section I|34 pages

It’s all about “Me”

chapter |2 pages

Editor’s note

chapter Chapter 1|8 pages

On the origin of clinical intervention

chapter Chapter 2|9 pages

Self-disclosure and psychoanalytic meaning

chapter Chapter 3|10 pages

It’s all about “Me”

chapter Chapter 4|4 pages

Working with therapists in group

part Section II|38 pages

For the love of K

chapter |2 pages

Editor’s note

chapter Chapter 5|11 pages

LHK 1 : Bion’s basic affects

chapter Chapter 6|12 pages

From countertransference to passion

chapter Chapter 7|12 pages

Relational variations of the container-contained

part Section III|56 pages

Group process

chapter |3 pages

Editor’s note

chapter Chapter 8|12 pages

Bonding

The group therapist’s contribution

chapter Chapter 9|13 pages

Developing nuclear ideas

chapter Chapter 10|13 pages

Reality testing and testing reality

chapter Chapter 11|14 pages

Four modes of therapeutic engagement

Diplomacy, integrity, sincerity, and authenticity

part Section IV|59 pages

Impasses and opportunities

chapter |3 pages

Editor’s note

chapter Chapter 12|13 pages

The three Rs of group

Resistance, rebellion, and refusal

chapter Chapter 13|11 pages

Psychic nodules and therapeutic impasses

chapter Chapter 14|18 pages

A falsifying adolescent

chapter Chapter 15|13 pages

An intersubjective approach to entitlement

part Section V|62 pages

Doing our work

chapter |4 pages

Editor’s note

chapter Chapter 16|13 pages

Doing our work

Words, deeds, and presence

chapter Chapter 17|11 pages

Deconstructive interventions

chapter Chapter 18|13 pages

Witnessing

The axis of group

chapter Chapter 19|15 pages

Attention-getting mechanisms (AGMs)

A personal journey

chapter |5 pages

Epilogue