Abstract

BINDER, Margaret Waddington. The king and the blackberry omelet. Rev. bras. psicanál [online]. 2015, vol.49, n.4, pp. 101-110. ISSN 0486-641X.

This paper is about the difficulty in treating some difficult cases. The author writes about the need of psychoanalyst's notes, in order to further elaborate countertransferential aspects, and to use it in those therapy sessions. The author brings a case of a terminal patient, who has been suffering from a terrible disease. That patient has used her therapy as a way to keep herself (her mind) reasonably organized. It's evident the very hard psychic work that must have been done by both, therapist and patient, in order to deal with that patient's imminent death. At that time, a great libidinal expansion happened to exist, and the patient's relational appetite started increasing, while a deeply regressive transferential relationship has been developed, which has required from the therapist a great ability of rêverie.

Keywords : psychosomatic; difficult patient; transferential and countertransferential aspects; unusual interventions.

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