Primitive State Research Articles

The Unique Morphofunctional Structure of the Reptilian Heart

The paper analyzes the evolution of the thermoenergetic statuses of vertebrates and the associated evolutionary development of their heart. The analysis shows that in most modern lepidosaurs and turtles, the heart is not completely, conditionally five-chambered: it has two atria and one ventricle, in which two incomplete septas divide it into three functional chambers. In some of them, these two septas were modified in evolution so that they turned into one with vertical and horizontal elements, as a result of which the heart became functionally four-chambered, with improved separation of arterial and venous blood flows. Crocodiles have a fully morphologically four-chambered heart. But the hearts of all reptiles, both recent and extinct, perform two opposite functions in parallel – the separation of arterial and venous blood flows and at the same time their regulated mixing. To do this, there are special morphological and physiological mechanisms in their hearts. Such a strange functional duality in the work of the reptilian heart aims to regulate the metabolism level by controlling the amount of carbon dioxide entering the blood flow: increasing the amount of CO2 in the blood flow reduces the metabolic rate, reducing its amount increase metabolism. Mixed blood in reptiles’ blood flow is not an immature, primitive state, but a physiological necessity. Moreover, this method of regulating of metabolic rate is most adequate to the initial, ancestral thermoenergetic state in reptiles, because basal terrestrial tetrapods and most ancient reptiles were meso- and even tachymetabolic, i.e. almost or completely warm-blooded, endothermic animals. It was just these endothermic animals that needed such type of metabolism regulation. As a result, all recent reptiles have a complex morphophysiological organization of the heart, which was functionally more suitable for their almost warm-blooded ancestors. Recent reptiles use part of their ancestral properties as an adaptation to new environmental conditions, new environmental requirements, and their new morphophysiological state. This unique organization of the heart is characteristic of all modern and extinct reptiles, and, importantly, it is characteristic exclusively for reptiles due to their original endothermic state.

Preservation of Natural History and Biodiversity of Bangladesh: Effort of Bangladesh National Museum

The study of nature has likely been one of humanity’s earliest pursuits, considering that a natural inclination for humans, even in a primitive state, is to pay attention to the environment, appreciating the flora, fauna, and the earth beneath their feet. This study aims to assess the role and contributions of the Department of National History of Bangladesh National Museum in preserving the natural history, heritage and biodiversity of Bangladesh through analysis of gathered exhibits, specimens, and input from diverse sources, including general visitors, field experts, and researchers. Additionally, this research seeks to identify potential avenues of future growth and development within the department. The Natural History department has meticulously gathered a treasure trove of ancient animals, plants, and geological fossils, butterflies, live snakes, snails, and oysters. The scope of Bangladesh’s biodiversity and natural history is far too broad to be fully represented within limited galleries. As such, it is imperative to consider establishing a separate Natural History Museum. Additional recommendations from the participants include creating a separate herb gallery consisting of diverse collection of medicinal herbs and other plants for greater conservation of plant species. The usage of diorama and semi-dioramas in representing the biodiversity of Bangladesh is not only very appealing to the visitors but also expressive of the natural habitats of the wildlife. As such, modernizing the other galleries and incorporating dioramas as medium of display might be taken into consideration. There have been calls from the participants to incorporate modern technology, in particular 3D visuals.

Unveiling the vulnerability of the human abducens nerve: insights from comparative cranial base anatomy in mammals and primates.

The topographic anatomy of the abducens nerve has been the subject of research for more than 150 years. Although its vulnerability was initially attributed to its length, this hypothesis has largely lost prominence. Instead, attention has shifted toward its intricate anatomical relations along the cranial base. Contrary to the extensive anatomical and neurosurgical literature on abducens nerve anatomy in humans, its complex anatomy in other species has received less emphasis. The main question addressed here is why the human abducens nerve is predisposed to injury. Specifically, we aim to perform a comparative analysis of the basicranial pathway of the abducens nerve in mammals and primates. Our hypothesis links its vulnerability to cranial base flexion, particularly around the sphenooccipital synchondrosis. We examined the abducens nerve pathway in various mammals, including primates, humans (N = 40; 60% males; 40% females), and human fetuses (N = 5; 60% males; 40% females). The findings are presented at both the macroscopic and histological levels. To associate our findings with basicranial flexion, we measured the cranial base angles in the species included in this study and compared them to data in the available literature. Our findings show that the primitive state of the abducens nerve pathway follows a nearly flat (unflexed) cranial base from the pontomedullary sulcus to the superior orbital fissure. Only the gulfar segment, where the nerve passes through Dorello's canal, demonstrates some degree of variation. We present evidence indicating that the derived state of the abducens pathway, which is most pronounced in humans from an early stage of development, is characterized by following the significantly more flexed basicranium. Overall, the present study elucidates the evolutionary basis for the vulnerability of the abducens nerve, especially within its gulfar and cavernous segments, which are situated at the main synchondroses between the anterior, middle, and posterior cranial fossae-a unique anatomical relation exclusive to the abducens nerve. The principal differences between the pathways of this nerve and those of other cranial nerves are discussed. The findings suggest that the highly flexed human cranial base plays a pivotal role in the intricate anatomical relations and resulting vulnerability of the abducens nerve.

Synergistic effect and molecular mechanism of nicotinamide and UM171 in ex vivo expansion of long-term hematopoietic stem cells

IntroductionSeveral approaches to expand human hematopoietic stem cells (HSCs) have been reported, but the ability of these methods to expand long-term hematopoietic stem cells (LT-HSCs) remains to be improved, which limits the application of HSCs-based therapies. MethodsCD34+ cells were purified from umbilical cord blood using MacsCD34 beads, and then cultured for 12 d in a serum-free medium. Flow cytometry was used to detect phenotype, cell cycle distribution, and apoptosis of the cultured cells. Colony-forming cell (CFC) assays can evaluate multi-lineage differentiation potential of HSCs. Real-time polymerase chain reaction was employed to detect the expression of genes related to self-renewal programs and antioxidant activity. DCFH-DA probes were used to evaluate intracellular production of reactive oxygen species (ROS). Determination of the effect of different culture conditions on the balance of cytokine by cytometric bead array. ResultsHere, we show a combination, Nicotinamide (NAM) combined with pyrimidoindole derivative UM171, can massively expand LT-HSCs ex vivo, and the expanded cells maintained the capability of self-renewal and multilineage differentiation. Additionally, our data indicated that UM171 promoted self-renewal of HSCs by inducing HSCs entry into the cell cycle and activating Notch and Wnt pathways, but the infinite occurrence of this process may lead to mitochondrial metabolism disorder and differentiation of HSCs. NAM kept HSCs in their primitive and dormant states by reducing intracellular ROS levels and upregulating the expression of stemness related genes, so we believed that NAM can act as a brake to control the above process. ConclusionsThe discovery of the synergistic effect of NAM and UM171 for expanding LT-HSCs provides a new strategy in solving the clinical issue of limited numbers of HSCs.

Brain Organoids, the Path Forward?

Brain Organoids, the Path Forward?

Histone lysine demethylase 4 family proteins maintain the transcriptional program and adrenergic cellular state of MYCN-amplified neuroblastoma

Neuroblastoma with MYCN amplification (MNA) is a high-risk disease that has a poor survival rate. Neuroblastoma displays cellular heterogeneity, including more differentiated (adrenergic) and more primitive (mesenchymal) cellular states. Here, we demonstrate that MYCN oncoprotein promotes a cellular state switch in mesenchymal cells to an adrenergic state, accompanied by induction of histone lysine demethylase 4 family members (KDM4A-C) that act in concert to control the expression of MYCN and adrenergic core regulatory circulatory (CRC) transcription factors. Pharmacologic inhibition of KDM4 blocks expression of MYCN and the adrenergic CRC transcriptome with genome-wide induction of transcriptionally repressive H3K9me3, resulting in potent anticancer activity against neuroblastomas with MNA by inducing neuroblastic differentiation and apoptosis. Furthermore, a short-term KDM4 inhibition in combination with conventional, cytotoxic chemotherapy results in complete tumor responses of xenografts with MNA. Thus, KDM4 blockade may serve as a transformative strategy to target the adrenergic CRC dependencies in MNA neuroblastomas.

Ex vivo expansion of hematopoietic stem cells in two/ three-dimensional co-cultures with various source of stromal cells

The ex vivo expansion of hematopoietic stem cells, with both high quantities and quality, is considered a paramount issue in cell and gene therapy for hematological diseases. Complex interactions between the bone marrow microenvironment and hematopoietic stem cells reveal the importance of using 2D and 3D coculture as a physiological system simulator in the proliferation, differentiation, and homeostasis of HSCs. Herein, the capacity of mesenchymal stem cells derived from different sources to support the expansion and maintenance of HSPC was compared with each other. We evaluated the fold increase of HSPC, CD34 marker expression, cytokine secretion profile of different MSCs, and the frequency of hematopoietic colony-forming unit parameters. Our results show that there was no significant difference between adipose tissue-MSC, Wharton jelly-MSC, and Endometrial-MSCs in HSPC expansion (fold increase: 34.74±4.38 in Wj-MSC, 32.22±5.07 in AD-MSC, 25.9±1.27 in En-MSCs); However, there were significantly more than the expansion media alone (4.4±0.69). The results obtained from the cytokine secretion analysis also confirm these results. Also, there were significant differences in the clonogenicity of Wj-MSC, En-MSCs, and expansion media (CFU-GEMM: 7±1.73, 2.3±1.15, and 2.3±1.52), which indicated that Wj-MSC could significantly maintain the primitive state. As a result, using Wj-mesenchymal stem cells on a 3D coculture system effectively increases the HSPC expansion and maintains the colonization potential of hematopoietic stem cells.

The Innate Capacity for Representing Subjective Experience: The Infant's Mind is Neither Primitive nor Prerepresentational.

The author cites the prominence of theories that locate serious adult psychopathology in the preverbal infant's inability to formulate or represent traumatic experience. The work of two such authors, H. Levine and D. B. Stern, is briefly considered. The frame of reference for this investigation is that clinical and academic research findings are highly relevant to psychoanalytic theorizing. It is argued that when such findings are considered, a view of the infant with "primordial and unrepresented" states of mind has little evidence to support it. In fact, research findings summarized herein point to an opposite view: that of the "competent infant," one with highly accurate perceptual discrimination capacities and an innate ability to register and represent subjective experience in both procedural and declarative memory, even prenatally. Given the infant's competencies, it seems implausible to hold that representational deficits are at the heart of serious adult psychopathology, which is instead seen to be the result of defensive maneuvers against unknowable and unspeakable truth rather than the absence of a preverbal representational capacity. Current research findings seem to pose a significant challenge for psychoanalytic theories that espouse "primitive mental states"; "unrepresented," "unformulated," or "unsymbolized" experience; or "nonconscious" states.

A Longitudinal Single-Cell Atlas of Treatment Response in Pediatric AML

Introduction: Pediatric acute myeloid leukemia (pAML) is a heterogeneous disease in terms of driver alterations, treatment response and patient outcomes. Although approximately 90% of pAML patients respond to initial treatment, tumours relapse frequently. Despite large-scale genomic sequencing efforts, it remains elusive why tumors relapse. Previously, mutations have been identified that affect transcriptional regulation, indicating that epigenetic processes may contribute to treatment resistance in pAML. We therefore studied how tumor epigenetic patterns, transcriptional regulation and cell populations change over the course of treatment using single-cell ATAC sequencing (scATAC-seq) and single-cell RNA sequencing (scRNA-seq) in pediatric populations. Methods: We profiled 330,047 cells using scRNA-seq and 353,984 cells using scATAC-seq derived from 28 uniformly treated pAML patients, driven by either MLL fusions, CBFB fusions, RUNX1 fusions, FLT3-ITD or other aberrations (i.e. CEBPA mutations). All patients were enrolled in the AAML1031 trial (https://childrensoncologygroup.org/aaml1031), a randomized phase 3 clinical trial that investigated the addition of Bortezomib (BTZ) and Sorafenib to standard treatment modalities. Samples were obtained serially at diagnosis, at remission and at relapse and single-cell profiles were compared between these stages. Results: We identified malignant and non-malignant populations in the scATAC-seq and scRNA-seq data, showing that in all cases, malignant cells from patients at diagnosis were distinct from those taken at relapse. Major differences between diagnosis and relapse were associated with differentiation, and by inferring distinct cell populations we identified that relapsed cell populations appeared to shift towards a more primitive state. The extent of this shift was dependent on the genetic subtype and the effects were more pronounced in MLL-rearranged tumors. To identify the candidate mechanisms and transcription factors involved in this shift we studied the monocytic, lymphocytic and erythrocytic lineages in non-malignant cells and compared these to the tumor at diagnosis and relapse. Based on motif enrichment we found that across all different subgroups, transcription factors (TFs) that drive monocytic differentiation (i.e. CEBPA) have a lower activity while TFs driving erythrocytic and lymphocytic differentiation (i.e. TCF3) have a higher activity. Analysis of hematopoietic stem-like and progenitor-like cells (HSPC-like) confirmed this change, indicating that the “priming” towards other lineages is not only a result of shifts in cell populations but also a result of rewiring of early progenitors. To investigate this rewiring, we analysed regions of open chromatin that were enriched in malignant HSPCs compared to normal HSPCs across different subgroups. We found that those regions were highly specific to the driving alteration and were enriched for MEF2C binding sites in MLL-driven tumors and AP-1 binding sites in other tumors. Overall, upon relapse MEF2C expression and inferred TF activity appeared to increase, coinciding with an apparent increase in lymphoid priming and early lymphoid factors including LMO2, LYL1 and TCF3, among others. Two cases in the cohort appeared to switch lineage from a monocytic to lymphocytic phenotype and were enriched in CD19 and CD79A positive malignant cells upon relapse. Both cases shared the characteristic that MEF2C was upregulated upon relapse and showed upregulation of typical B-lymphoid transcription factors such as PAX5. Discussion: By generating a large dataset of pediatric AML patient samples collected at diagnosis, remission and relapse, we have identified changes in cellular hierarchies and transcriptional networks that occur upon relapse. Our study shows that shifts in cell populations readily occur upon treatment and are dependent on subgroup-defining alterations. Particularly MLL-rearranged tumors show a high level of plasticity that could explain the poor outcome of this group. Furthermore, we show that tumors appear to adapt their transcriptional programs towards a more “stem-like” state, with a likely higher propensity to differentiate towards other lineages such as the lymphoid lineage. We have identified MEF2C as a possible regulator of these processes, opening a new perspective to target the plasticity of these tumors.

Abstract 18695: C5ORF51/RIMOC1 - A Novel Regulator of Cardiogenesis

Introduction: Adult human cardiomyocytes (CMs) have poor capacity for proliferation and functional recovery after heart attack, thus leading to the high morbidity and mortality of cardiovascular diseases. Thus, there is great need to understand the underlying mechanisms of adult CM turnover and maturation. While screening for modulators of TEAD1, the downstream transcriptional effector of Hippo pathway, my lab identified a novel factor—C5ORF51/RIMOC1—as a potential cardiomyogenic modulator. C5ORF51 (hereinafter referred to as C5x) is a previously uncharacterized protein of nearly unknown function, which appears to play critical roles in the regulation of CM homeostasis and heart size. Hypothesis: C5x is a novel cardiomyogenic regulator which determines CM turnover, maturation, and function. Methods and Results: (1) Ex vivo C5x deletion in mouse neonatal CMs leads to significantly increased percentages of cells in S-G2-M phases, suggesting that C5x mediates CM cell cycle arrest in a cell-autonomous manner; (2) In vivo CM-specific C5x-knockout mouse model shows significantly enhanced CM proliferation in adult mice as well as increased CM endowment and mononuclear diploid populations, indicating that C5x has an essential role in cell replication and division in vivo; (3) With age, C5x-CM-knockout mice develop systolic dysfunction, massive cardiomegaly, late-onset dilated cardiomyopathy, and premature mortality, demonstrating a critical role of C5x in maintaining normal cardiac function; (4) RNA sequencing analysis further reveals that C5x loss-of-function activates fetal gene expression while its gain-of-function suppresses fetal gene expression, suggesting C5x as a gatekeeper of the fetal gene program. Conclusions: C5x is required for CM cell cycle arrest, and its loss results in fetal gene activation leading to a primitive cell state and immature CM expansion.

In situ forming hydrogel loaded with predatory bacteria treats drug-resistant corneal infection

The development of potent bactericidal antibiotic alternatives is important to address the current antibiotic crisis. A representative example is the topical delivery of predatory Bdellovibrio bacteriovorus bacteria to treat ocular bacterial infection. However, the direct topical use of B. bacteriovorus suspensions has the problem of easy loss and inactivation. Here, a B. bacteriovorus in situ forming hydrogel (BIG) was constructed for the ocular delivery of B. bacteriovorus. BIGs, as a fluid in their primitive state, were temperature- and cation- dually sensitive, which was rapidly transformed into immobile gels in the ocular environment. BIGs not only kept the activity of B. bacteriovorus but also retained on the ocular surface for a long time. The biosafety of BIGs was good without HCEC cell toxicity and hemolysis. More importantly, BIGs highly inhibited the growth of drug-resistant Pseudomonas aeruginosa whether in vitro or in the infected rat eyes. The ocular infection was completely controlled by BIGs with no corneal ulcers and inflammations. This living bacteria gel is a promising medication for the local treatment of drug-resistant bacteria-induced ocular infection.

The Ego and the Id: Concepts and developments

ABSTRACT In this note I have limited myself to describing some convergent and divergent developments arising from the innovative concepts present in The Ego and the Id. It could be argued that a part of the psychoanalytic movement wished to emphasize the function of the Ego (Anna Freud, Hartmann, Rapaport), while another part (Melanie Klein and her followers) delved into the dynamics of the Superego and the Id in primitive and pathological states of mind. I will examine three themes presents in The Ego and the Id: the assertion that a part of the Ego is unconscious; the idea that the death drive becomes part of the dynamics of melancholia and its Superego; the concept of fusion and defusion of the life and death instinct. Freud's writing represents a forge of new ideas that have made psychoanalysis ever more creative and capable of understanding the complexity and mysteriousness of the human mind.

The Unbound Seed: Discussion of The Bad Seed: Mystical Experiences and Time Travel in the Treatment of Psychopathy

ABSTRACT In this discussion of The Bad Seed: Mystical Experiences and Time Travel in the Treatment of Psychopathy, I focus on the role of psychedelics in the remarkable clinical account Burton offers. A model for understanding psychedelic action in psychoanalytic terms is put forth, and the account of Seth’s journey is framed in this light. The understanding of psychedelics as facilitating a regression to a primary or primitive state of mind is challenged, and reformulated as expanding consciousness into more connected and unitary realms. I also question whether Burton’s patient had a mystical experience, and differentiate this from an insight-oriented psychedelic experience. These are framed in light of an understanding of the ego and ego dissolution with psychedelics. Finally, I reflect on the synchronicity between Burton’s own spiritual exploration and growth at the time of her transformative work with Seth.

Ultrasensitive SERS-based detection of prostate cancer exosome using Cu2O–CuO@Ag composite nanowires

Exosome is a recently emerging cancer-associated biomarker for early diagnostic and prognostic owing to their noninvasive, intrinsic stability, and representativeness of primitive cell state. However, the development of convenient and quantitative methods for exosome analysis remains technically challenging. Here, we proposed a cost-effective assay for the direct capture and rapid monitoring of exosomes utilizing the multifunctional surface enhanced Raman scattering (SERS) substrate, which consisted of Cu2O–CuO nanowires prepared by a simple thermo-oxidative growth method and subsequently sputtered with Ag NPs. This reticulate substrate made up of interlaced one-dimensional nanowires that highly favored for exosome recognition and collection. Particularly, the electromagnetic hotspots with high density were uniformly distributed on the nanowires due to uniform physical deposition, facilitating robust SERS property with an enhancement factor (EF) of 3.3 × 108 and signal reproducibility with a relative standard deviation (RSD) of 13%. In addition, the presence of Cu2O–CuO heterojunction enabled further elevation of the SERS performance attributed to the effective charge transfer, triggering a significant chemical enhancement effect. Finally, clinical validation with the serum specimens of prostate cancer patients indicated that the proposed immunosensor possessed great potential for application in rapid cancer screening and diagnosis.

A new basal ginglymodian fish (Holostei: Neopterygii) from the Middle Triassic (Anisian) Luoping Biota, Yunnan, China

Abstract Ginglymodians (e.g. gars) are a group of holostean fishes with a rich fossil history in the Mesozoic. The resolution of interrelationships among extinct ginglymodians is central to the problem of understanding the origin of this clade. Here, a new fossil ginglymodian, Diandongichthys ocellatus gen. et sp. nov., is described based on 13 well-preserved specimens from the Early-Middle Triassic (Anisian) marine deposits exposed in Luoping, eastern Yunnan, China. The discovery documents one of the oldest and smallest ginglymodians hitherto known from the Middle Triassic, with a maximum standard length of 41 mm. Diandongichthys, although displaying several synapomorphies of ginglymodians, retains some primitive states with respect to other early ginglymodians (e.g. a short snout without anterior infraorbitals, a maxilla ending below the orbit, and a median gular); consequently, it is nested at the base of the Ginglymodi in this phylogenetic study. Besides body shape, some autapomorphies on the cranial bones and caudal fin easily distinguish Diandongichthys from other members of this clade. The discovery provides new insights into the origin and early diversification of ginglymodian fishes.

The exchange contract in the Portuguese legal system and comparative law

Despite the exchange contract being one of the oldest contracts, it is not currently regulated in the Portuguese Civil Code, as it is understood that it belongs to a primitive state of the economy. The Portuguese legislator intended to make the purchase and sale contract the prototype of other onerous agreements according to article 939.º of the Civil Code. However, this will raise problems for us between the frontier of buying and selling and that of exchange, for which our law does not give us direct answers.We found that other legal systems, such as the Spanish, French, Italian, or Ibero-American codes, consecrate in their Civil Codes, in a brief way, the exchange contract.

Broca’s area, variation and taxic diversity in early Homo from Koobi Fora (Kenya)

Because brain tissues rarely fossilize, pinpointing when and how modern human cerebral traits emerged in the hominin lineage is particularly challenging. The fragmentary nature of the fossil material, coupled with the difficulty of characterizing such a complex organ, has been the source of long-standing debates. Prominent among them are the uncertainties around the derived or primitive state of the brain organization in the earliest representatives of the genus Homo, more particularly in key regions such as the Broca’s area. By revisiting a particularly well-preserved fossil endocast from the Turkana basin (Kenya), here we confirm that early Homo in Africa had a primitive organization of the Broca’s area ca. 1.9 million years ago. Additionally, our description of KNM-ER 3732 adds further information about the variation pattern of the inferior frontal gyrus in fossil hominins, with implications for early Homo taxic diversity (i.e. one or two Homo species at Koobi Fora) and the nature of the mechanisms involved in the emergence of derived cerebral traits.

Broca's area, variation and taxic diversity in early Homo from Koobi Fora (Kenya).

Because brain tissues rarely fossilize, pinpointing when and how modern human cerebral traits emerged in the hominin lineage is particularly challenging. The fragmentary nature of the fossil material, coupled with the difficulty of characterizing such a complex organ, has been the source of long-standing debates. Prominent among them are the uncertainties around the derived or primitive state of the brain organization in the earliest representatives of the genus Homo, more particularly in key regions such as the Broca's area. By revisiting a particularly well-preserved fossil endocast from the Turkana basin (Kenya), here we confirm that early Homo in Africa had a primitive organization of the Broca's area ca. 1.9 million years ago. Additionally, our description of KNM-ER 3732 adds further information about the variation pattern of the inferior frontal gyrus in fossil hominins, with implications for early Homo taxic diversity (i.e. one or two Homo species at Koobi Fora) and the nature of the mechanisms involved in the emergence of derived cerebral traits.

Acquisition of neural fate by combination of BMP blockade and chromatin modification

Neural induction is a process where naive cells are converted into committed cells with neural characteristics, and it occurs at the earliest step during embryogenesis. Although the signaling molecules and chromatin remodeling for neural induction have been identified, the mutual relationships between these molecules are yet to be fully understood. By taking advantage of the neural differentiation system of mouse embryonic stem (ES) cells, we discovered that the BMP signal regulates the expression of several polycomb repressor complex (PRC) component genes. We particularly focused on Polyhomeotic Homolog 1 (Phc1) and established Phc1-knockout (Phc1-KO) ES cells. We found that Phc1-KO failed to acquire the neural fate, and the cells remained in pluripotent or primitive non-neural states. Chromatin accessibility analysis suggests that Phc1 is essential for chromatin packing. Aberrant upregulation of the BMP signal was confirmed in the Phc1 homozygotic mutant embryos. Taken together, Phc1 is required for neural differentiation through epigenetic modification.

I felt a funeral, in my brain: from sticky baby to recycling machine

ABSTRACT This paper seeks to describe how a three-year-old boy´s infantile trauma was actualized in the transference and recounts the work required to contain his primitive infantile states. The author explores the self-protective and communicative function of the child’s adhesive and omnipotent behaviour and the appearance of somatic reactions in the sessions. Somatic symptoms were linked to raw, abrupt, and hostile feelings in the child towards the analyst in the transference, followed by a sense of acute danger. Understanding and surviving a shared experience led to a dream and a dawning recognition and tolerance of separation in the child. His unintegrated infantile parts were gradually able to enter the playroom where they could be addressed in the transference. Being separate and unable to possess the analyst triggered intense ambivalence and physical attacks on the analyst and led to the emergence of a fatherly attitude in the analyst. Working through his oedipal ambivalence with the help of a third, an internal father, paved the way to symbolization, the creation of a ‘recycling machine’ and the depressive position. The author will discuss the somatic reactions linked to his infantile states, the dream and the symbolic meaning of the recycling machine.