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the mother's absence, using memories of pleasurable sensations that have been associated with her presence.
The child's representation of the mother begins with imitation, introjection and ultimately progresses to identification. In
mother's absence, the child uses his own sensations to figure
out1 the mother's presencethat is, to figuratively recreate his
experience of being with her (Freud's hallucinatory wish-fulfilment). By so doing, the child develops a capacity for playing
with equivalences. For example, he touches his own hand as if
the mother were touching him, then uses this action to symbolize the mother's presence by touching an external object (Fain
& Kreisler, 1981). Displacement and the use of equivalences are
pre-symbolic functions that rest upon and strengthen the
infant's internal capacity for representation.
When the mother is present, representation of the child's
experiences is accomplished through an integration of shapes,
sensorial forms, and figures. It is these figures that will become
available to the infant, to be recreated in mother's absence.
They will eventually be associated with symbol formationthat
is, with the formation of equivalences between something related to the child's body and something related to an external
object.
For the baby, then, formation of mental representations
begins as an interactional process that arises from the internal
sensations associated with his/her experience with the mother.
The mother helps to contain those sensations through her actions, when those actions decrease anxiety and arousal and give
them meaning. In this sense, the mother-baby interaction may
also be seen as an intersubjective process taking place between
two minds that are not equally mature. The affective attunement of the parent regulates the psyche and emotions of the
young child, and the regulatory and developmental vulnerability and needs of the infant elicit facilitating responses in the
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critical time shows how fragile and discontinuous this representation can be.
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It is necessary to postulate that if the use of the (transitional) object by the baby builds up into anything, then there must be the
beginning of the setting up in the infant's mind or personal
psychic reality of an image of the object (mother). But the mental representation in the inner world is kept significant, or the
imago in the inner world is kept alive, by the reinforcement given through the availability of the external separated-off and actual mother, along with her techniques of child-care. [Winnicott,
1951, p. 95]
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state that belongs to disintegration of the emerging ego structure. [Winnicott, 1967, pp. 97-98]
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from his father and a nurse during his first year of life and from
the interaction he had developed with his mother through the
transference to me during the therapy. However, the stress of
separation and his presumed lack of capacity to represent his absent mother lasted for a long time.
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session, the same type of play helped her feel comfortable in the
office. She began to look furtively at me and to smile at the dolls.
In contrast, her mother remained distant and paralysed; Clara
herself froze up when she looked at her mother.
During these initial visits, a sadness permeated the room that
stemmed from the mother's depression and anxiety. Mother
seemed preoccupied by the thought that Clara was handicapped.
We were in a kind of libidinal desert, always at the limit of becoming bored. I told mother and daughter that they were too sad
to play together or look at each other. Clara came very close to
my face, touched my glasses, and gave me a brief glance. I responded that she had been afraid of my strange face and my
black glasses.3 Internally, I theorized that she was invested in
exploring my body and was starting with the part that could be
detached, the glasses, in the same way that some babies use their
mother's hair. An intermediate space now existed. Clara would
play with my glasses, keeping them firmly in her hand as a first
intermediate object, or as a part of me, which she had appropriated. I interpreted that we were all well together today, Mommy,
Clara, and I.
At the end of the session Clara began to cry and scream; she did
not want to leave. I cut out a pair of glasses from some construction paper and gave them to her. Her mother put them on her
face and Clara calmed down and left the session. I asked the
mother to bring the glasses back for the next meeting if she
could.
At the next session, I suggested that Clara and her mother look
in a mirror. Clara put the glasses on, took them off, then asked
her mother to put them on and asked me to come with them in
front of the mirror. For the first time, we could look each other
directly in the eyes. Clara remained silent but no longer looked
like an empty, nauseated, dysregulated child. She was alive. The
general level of anxiety in the room had also decreased, and
Clara introduced new play with dolls and bottles that involved
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using the intermediate space in the corridor, we played at exchanging a ball and sometimes the glasses. Soon she put them
in her mouth, and autoeroticism developed; playing with her
mouth revealed the renewal of the binding force of her libido.
By finding pleasure again, Clara could introject the quality of
an object that was at the same time supporting her narcissism
and offering an opportunity for separation from a dyadic relationship with the mother. With this capacity to create the feeling of the presence of an object holding her, she was able to
enter my room. In the presence of her mother, the experience
of me as stranger exposed her fragility in maintaining a representation of her mother as a whole object that could be separated from her.
At the age of 3, Clara pointed at her image in the mirror
and proudly said, Me! (Gergely & Watson, 1996). By this
time, her capacity to dream was evidenced by the fact that she
reported her nightmares and could even use words to begin to
figure them out. The representation process was well established and rich. When she was 5, Clara said: When I was a
baby I was sometimes a little bit dead.
Conclusion
By virtue of her presence and attuned interventions with her
baby, the good-enough mother integrates and reinforces the
memories and sensations associated with tension relief, security, and pleasure and ultimately begins to name these experiences and thereby help link them to words. If mother is depressed, traumatized, and unable to contain and hold her child,
then her touch, gaze, and contact will not reflect the baby's experience or transform it. She will not provide the baby with the
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her about her issues, the child responds by feeling relief and starting to
move from a frozen state of defence to a playful activity.
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