Primitive Bodily Communications in Psychotherapy: Embodied Expressions of a Disembodied Psyche: Primitive Bodily Communications in Psychotherapy

Editor : Raffaella Hilty

Primitive Bodily Communications in Psychotherapy: Embodied Expressions of a Disembodied Psyche: Primitive Bodily Communications in Psychotherapy

Book Details

  • Publisher : Karnac Books
  • Published : May 2022
  • Cover : Paperback
  • Pages : 224
  • Category :
  • Category 2 :
    Individual Psychotherapy
  • Catalogue No : 96157
  • ISBN 13 : 9781913494308
  • ISBN 10 : 9781913494
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Every psychotherapist will be familiar with what it means to experience the hatred and despair of their most vulnerable patients in the midst of a psychotherapy session. Most often these patients will manage to express their feelings verbally, but what about those who never developed the capacity to speak? Or those who are capable of talking, but carry a complex range of unprocessed embodied feelings that cannot be verbally expressed? Some patients must rely on another type of language in order to communicate their dissociative states of mind.

Primitive Bodily Communications explores how the ‘talking cure’ can still work when words fail and the body ‘talks.’ Non-verbal communication can be thought of as a form of body language and, even though this is a topic not frequently discussed, many practitioners have experienced working with people who communicate through the use of their bodies. The book does not refer to bodily communications as primitive because we see them as inferior to verbal language, but simply because they point to the beginnings of psychological development, to primary ways of being and relating, as well as to enduring aspects of ourselves.

The contributors explore the topic of primitive bodily communications in the context of intellectual disability, eating disorders and bodily neglect, focusing on the communicative aspect of bodily expressions within the therapeutic relationship. A wide spectrum of clinical cases illustrates how these patients can reach a state of better physical and emotional containment and, when possible, of verbal communication.


List of Contributors



Chapter 1: The spitting patient: speaking with sputum and free-associating with saliva


Chapter 2: Smell, silence, Winnie the Pooh and working with primitive bodily communications in

the context of unbearable trauma in non-verbal patients


Chapter 3: The sound of silence. Working with people with an intellectual disability who selfharm


Chapter 4: Patients who smell: olfactory communication and the mephitic other


Chapter 5: The “smelly patient”. Unpleasant bodily odour in a psychoanalytic treatment


Chapter 6: In corpore inventitur: embodied countertransference and the process of unconscious

somatic communication


Chapter 7: Revisiting the entropic body: when the body is the canvas


Chapter 8: When the psyche shreds, and the body takes over


Chapter 9: How Uncivilised? Responding to Trauma-based Communication in Psychotherapy



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