An extraordinary depiction of one analyst's efforts to receive and respond to the vivid impressions of her patients raw and sometimes even unmentalized experiences as they are highlighted in the transference-countertransference connection. Mitrani attempts to feel, suffer, mentally transform, and, finally, verbally construct for and with the patient possible meanings for those immediate versions of lifes earliest experiences as they are re-enacted in the therapeutic relationship.She uses insights from this therapeutic work to contribute to the metapsychology of British and American object relations as well as to the psychoanalytic theory of technique. In these eleven essays, Dr Mitrani masterfully integrates the work of Klein, Winnicott, Bion and Tustin as she leads us on an expedition through primitive emotional territories. She clears the way toward detecting and understanding the survival function of certain pathological manoeuvres deployed by patients when confronted by unthinkable anxieties. In her vivid accounts of numerous clinical cases, she provides and demonstrates the tools needed to effect a transformation of unmentalized experiences within the context of the therapeutic relationship.

Foreword , Introduction , Introduction to the Karnac Edition 2008 , Unintegration, Adhesive Identification, and the Psychic Skin: * Variations on Some Themes by Esther Bick , On the Survival Function of Autistic Maneuvers in Adult Patients 1 , Notes on an Embryonic State of Mind , On the Survival Function of Pathological Organizations 1 , To Err Is Human: One Patient's Emergence from within a Pathological Organization , The Role of Unmentalized Experience in the Etiology and Treatment of Psychosomatic Asthma 1 , Examining a Fragment of a Fragment: Freud's "Dora" Case Revisited , On Adhesive Pseudo-Object Relations: A Theory 1 , On Adhesive Pseudo-Object Relations: An Illustration 1 , Toward an Understanding of Unmentalized Experience 1 , Deficiency and Envy: Some Factors Impacting the Analytic Mind from Listening to Interpretation 1 , Credits