ABSTRACT

This chapter deals with the appearance, in the material of a certain class of patient, of references to curiosity, arrogance and stupidity which are so dispersed and separated from each other that their relatedness may escape detection. Trauma is more often an absence than a presence. The author's own clinical experience accords entirely with Bion's observation and construction. The chapter describes Bion's theory of transformations. A transformation based upon a modification of the hurt changes envy into respect and reverence. The starting point for the clinician is to be in touch with his own hatred. If the clinician's own hurt, own hatred is contained, then he will be in a position to deal with the patient's hatred of his own inner contents. The fundamental problem is not the patient's greed, the patient's envy, the patient's jealousy, the patient's cruelty, the patient's childishness, but his or her hatred of it.