ABSTRACT
So far, a compression of this book’s serial chapters leads from: 1) the general recognition of clinical forms or concepts to 2) the specific recognitions of clinical forms within the realm of significant psychopathology; and to 3) the centrality of symbolisation within the daily practice of psychotherapy. Such compressed statements might also be taken conceptually, as d elements, themselves recognisable within a given clinician’s cognitive-emotional matrix of clinical expression. The present chapter examines the intersubjective dyadic interaction at the heart of psychotherapeutic action and through its back-and-forth, the practical emergence of workable d structures. Conceptually, we anchor our discussion in W. R. Bion’s articulation of Melanie Klein’s recognitions of P/S and D, together with the dimension of time and the therapeutic action of that which is contained within therapeutic space, time, and event causality. In this sense, d structures operationalise Freud’s desideratum regarding the therapeutic task, of “learning from 52the patient something that I did not know and that he did not know himself” (1910a).
