Abstract

In mother-infant therapies, sole reference to the psychoanalytic model can lead to a therapeutic impasse or theoretical inconsistencies. Treatment is greatly enhanced by the dialectic created when one applies Esther Bick's method of infant observation as a framework for thinking and practice. Based on a detailed analysis of the same clinical example, the article examines the different types of therapeutic intervention (ranging from those that draw on infant observation to psychoanalytic interpretation) that can be used over the course of the treatment, but also in the moment-to-moment shifts that occur in a session. This dual theoretical and clinical combination provides a specific framework for thinking and intervening that proves to be clinically coherent and theoretically pertinent in these types of treatment.

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