ABSTRACT

This chapter presents some clinical vignettes to the process of working with positivity. The patient agreed to begin reanalysis after having initially undergone treatment when she was young, around seventeen years old. In successive sessions, she returned time and time again to her childhood and adolescent traumas. Sessions always included liberal mention of her multiple physical ailments—dyspepsia, tachycardia, menstrual pain—for which she was consulting different medical specialists. Silvia was in an overt state of complete helplessness: trembling, crying, she felt totally lost. She had been in mourning for more than a year after the death of a close relative. The clinical diagnosis was of a dependent, infantile personality within a phobic structure. Carlos was young and said little. The sessions, almost silent, provided a protective covering of positivity. Associations were few and his attendance at the sessions was constant. He came 'to be in the session'.