ABSTRACT
W. R. Bion believes that the caesura seems to indicate a connection between anxiety and a kind of “reversible perspective”, as happens with the blushing visible in the patient who does not have the ability to express this sensation in a much more explicit manner. Among the most difficult and painful things in dealing with caesuras is the need, encountered by the analyst, to keep in mind both sides of the phenomenon and remain alert to both positions of the “box”. There are different types of caesura that can be extracted and classified during the psychoanalytic session, for example: the patient falls asleep, or turns round on the couch, coughs, sneezes, hesitates over saying a word, stammers, interrupts a sentence half-way through, etc. There are a myriad of caesuras which are illustrated by the patients stories: fainting, falling asleep, waking up, being under the effect of anaesthetics, having “crises”, like a kind of recurring event.
