ABSTRACT

The author outlines an approach that leans on an expansion of psychoanalytic engagement and intersubjectivity to engage with the areas. He explores that the generative action of psychoanalytic treatment with these patients and states, for whom mutuality and relatedness is either limited or disturbed, accrues when a safe and welcoming place is created in the treatment for the annunciation of and engagement with these states and ways of being. The author's title proposes that there is eloquence to action and to what comes to be lived through together. His focus is on mutual action and motoric and sensorial communication. In the language of Bion (1967), the beta dimension of motoric impulsion had been transformed by a companioned experience into a felt experience of shame. It was Winnicott (1974) who suggested that some patients require a breakdown in the treatment, and by companioning him in this regressed area, in the motoric register, the pathway to thought and emotional realization was opened.