title: Dreaming as a primordial state of the mind: the clinical relevance of structural faults in the body ego as revealed in dreaming.
abstract: The therapeutic action of psychoanalysis, attributed for many years to the interpretation of the repressed libido, has shifted its focus to object relationships. Some modern analysts maintain that the primary factor of psychic change is the new model of object relationship provided by analysis, and do not consider significant the knowledge of episodes comprising implicit memories, whose irrecoverable nature is demonstrated by neuroscience. Nevertheless, the author proposes that the knowledge of specific archaic events, useless as their interpretation may be, offers a glimpse of the make-up of the mind, contributing to the improvement of the empathy indispensable for inducing changes in the patient. Episodes linked to absolute narcissism, in the beginnings of the body ego, which do not appear either in associations or in transference, emerge in dreams. Neuroscience has made possible the understanding of aspects of dreaming capable of providing a glimpse of the genesis of the ego, whose development from the bodily phase of absolute narcissism to the psychic object phase can thus be traced. The unearthing of the genesis of primary structural faults in dreaming furnishes the analyst with an estimate of the possibilities for development of the ego, and this knowledge provides fine tuning capable of guiding the analyst's conduct. A clinical case illustrates how these phenomena occur, showing the intersubjective relationship as the silent primary generator of psychic changes, consolidated and developed secondarily by means of the analytical dialogue.
authors.affiliation: Av. Princesa Isabel, 150 s/1201, Copacabana, Rio de Janeiro, RJ 22011-010, Brazil.
authors.forename: Victor Manoel
authors.initials: VM
authors.lastname: Andrade
mesh_terms: D000328:Adult; D001828:Body Image; D003071:Cognition / Q000502:physiology*; D004325:Dreams; D004532:Ego; D004645:Empathy; D005201:Fantasy; D006801:Humans; D008297:Male; D008568:Memory; D009289:Narcissism; D011573:Psychoanalytic Interpretation; D011574:Psychoanalytic Theory