I shall not first give an historical survey and show the development of my ideas from the theories of others, because my mind does not work that way. What happens is that I gather this and that, here and there, settle down to clinical experience, form my own theories and then, last of all, interest myself in looking to see where I stole what. Perhaps this is as good a method as any. [p. 145]
There is playful wit to the words "Perhaps this is as good a method as any."
This seemingly tacked-on afterthought expresses what is perhaps the central
theme of the paper as a whole: To create a "method," a way of being alive that
suits the individual and becomes his unique "watermarking" (Heaney 1980, p.47),
is perhaps the single most important outcome of primitive emotional development.
In the process of coming into being as an individual, the infant (and mother)
"gathers this and that, here and there." Early experience of self is fragmented,
and at the same time, it is (with the help of the mother) "gather[ed]" in a way
that allows the infant's experience of self, now and again, to come together in
one place. Moreover, for the infant, the
bits of others (introjects)-or for the writer, the ideas of other writers-must
not be allowed to take over the process of creating meaning. "My mind does not
work that way," nor does that of the healthy infant in the
care of a healthy mother. The individual's own lived experience must be the
basis for creating coherence for one's self and the integrity of oneself. Only
after a sense of self has begun to come into being (for the infant and for the
writer) can one acknowledge the contributions of others to the creation of
oneself (and one's ideas): "... last of all I interest myself in where I stole
what."
Winnicott then briefly discusses several aspects of the analytic relationship,
with particular emphasis on the transference-countertransference. It is this
body of experience that he believes is a major source of his conception of
primitive emotional development. I will examine only one brief passage (two
sentences, to be precise) of Winnicott's discussion of the transference-countertransference
in "Primitive Emotional Development." I have selected these sentences because I
find them to be of enormous importance, both from the standpoint of
understanding his conception of the workings of the analytic relationship, and
from the
standpoint of the powerful interdependence of language and ideas in Winnicott's
work:
The depressed patient requires of his analyst the understanding that the analyst's work is to some extent his effort to cope with his own (the analyst's) depression, or shall I say guilt and grief resultant from the destructive elements in his own (the analyst's) love. To progress further along these lines, the patient who is asking for help in regard to his primitive, pre-depressive relationship to objects needs his analyst to be able to see the analyst's undisplaced and coincident love and hate of him. [pp. 145-147]
In the opening clause of the first of these two sentences, Winnicott not only
offers a theory of depression radically different from those of and ,
but he also proposes a new conception of the role of countertransference in the
analytic process. He suggests here that depression is not, most fundamentally, a
pathological identification with the hated aspect of an ambivalently loved (and
lost) object in an unconscious effort to avoid experiencing anger toward the
lost object (Freud 1914). Nor does Winnicott understand depression as centered
around the unconscious fantasy that one's anger has injured, driven away, or
killed the loved object (Klein 1952).
In the space of a single sentence, Winnicott suggests (by means of his use of
the idea, rather than through his explication of it) that depression is a
manifestation of the patient's taking on as his own (in fantasy, taking into
himself) the mother's depression (or that of other loved objects), with the
unconscious aim of relieving her of her depression. What is astounding is that
this conception of the patient's depression is presented not through a direct
statement, but by means of a sentence that is virtually incomprehensible unless
the reader takes the initiative of doing the work of creating/discovering the
conception of the intergenerational origins of
dynamic structure of depression. Only after the reader has accomplished this
task does it begin to make sense why "The depressed patient requires of his
analyst the understanding that the analyst's work is to some extent his effort
to cope with his own (the analyst's) depression."2In other words, if the analyst is unable to cope with his own feelings of
depression (both normative and pathological), arising from past and current life
experience, the analyst will not be able to recognize (to feel in the moment)
the ways in which the
patient is unconsciously attempting to, and to some degree succeeding in, taking
on the depression of the analyst-as-transference-mother.
Those aspects of the analyst's depression that arise from sources independent of the analyst's unconscious identification with the patient's depressed internal object mother are far less available to the patient's ministerings. This is because the patient cannot find in the analyst the depression of his mother, which for nearly the entirely of his life, the patient has intimately known and attended to. The patient is single-mindedly concerned with the depression that is unique to the internal object mother. (Each person's depression is his or her own unique
creation, rooted in the particular circumstances of life experience and personality organization.)
The second clause of the sentence under discussion, while introduced by
Winnicott as if it were simply another way of saying what he has already said in
the first clause ("or shall I say") is in fact something altogether new: "[The
analyst of a depressed patient must cope with his own] ... guilt and grief
resultant from the destructive elements in his own (the analyst's) love."
Thus, the analyst of the depressed patient must also be able to live with the
inevitable destructiveness of love, in the sense that love involves a demand on
the loved object, which may (in fantasy, and at times, in reality) be too much
of a strain for the person one loves. In other words, the analyst in the course
of personal analysis and by means of ongoing self-analysis, must sufficiently
come to terms with his own fears of the draining effects of love to be able to
love the patient without fear that such feelings will harm the patient, thereby
causing the analyst "guilt and grief."3
Winnicott does not stop here. In the sentence that follows the quoted passage,
he revolutionizes (and I use the word advisedly) the psychoanalytic conception
of "the analytic frame" by viewing it as a medium for the expression of the
analyst's hatred of the patient: "...the end of the hour, the end of the
analysis, the rules and regulations, these all come in as expressions of [the
analyst's] hate" (p. 147). These words derive a good deal of their power from
the fact that the truth of the idea that the analyst expresses his hate in these
actions
(which are so ordinary as to frequently go unnoticed) is immediately
recognizable by the analytic reader as part of his experience with virtually
every patient. Winnicott is recognizing/lnterpreting the unspoken expressions of
hate that the analyst/reader unconsciously and preconsciously experiences (often
accompanied by a feeling of relief) in "throwing the patient out" (by punctually
ending each meeting), and by establishing the limits of what he will provide for
the patient (in maintaining the other aspects of the analytic frame). Implicit
here is the notion that the analyst's fear of the destructiveness of his hatred
of the patient can lead to treatment-destructive breaches of the analytic frame,
such as the analyst's extending the session for more than a few minutes in order
"not to cut the patient off," or the analyst's setting the fee at a level below
what the patient is able to afford "because the patient was consistently
exploited by his parents in childhood," or reflexively telephoning the patient
when the patient has missed a session "to be sure he is all right, " and so on.
Only by looking closely at these sentences can one discern and appreciate what
is going on in the very living relationship between the writing and the reader,
which constitutes so much of the life of the ideas being developed. As we have
seen, the writing demands that the reader become an active partner in the
creation of meaning. The writing (like the communications of an analysand)
suggest, and only suggests, possibilities of meaning. The reader/analyst must be
willing and able not to know in order to make room inside himself for a number
of possible meanings to be experienced/created, and to allow one meaning or
another, or several meanings concurrently, to achieve ascendance (for a time).
Moreover, it is important to note that the writing "works" (to borrow a word
from Winnicott's statement of his "method") in large measure by means of its
power to understand (to correctly interpret the unconscious of) the reader.
Perhaps all good writing (whether it be in poems, plays, novels, or essays), to
a significant degree, "works" in this way.
Wlnnicott's writing in the paper under discussion (and in almost all the works
included in his three major volumes of collected papers [1958, 1965, 1971c]) is
surprisingly short on clinical material. This, I believe, is a consequence of
the fact that the clinical experience is to such a large degree located in the
reader's experience of "being read" (that is, of being interpreted, understood)
by the writing. When Winnicott does offer clinical material, he often refers not
to a specific intervention with a particular patient, but to a "very common
experience" (1945, p. 150) in analysis. In this way, he implicitly asks the
reader to draw on his own lived experience with patients for the purpose not of
"taking in" Winnicott's ideas, but of inviting from the reader an "original
response" (Frost 1942, p. 307).
Still other forms of the generative interplay of style and content, of writing
and reader, take on central importance in a passage a bit later in "Primitive
Emotional Development," one that addresses experiences of unintegration and
integration in early development:
An example of unintegration phenomena is provided by the very common experience of the patient who proceeds to give every detail of the week-end and feels contented at the end if everything has been said, though the analyst feels that no analytic work has been done. Sometimes we must interpret this as the patient's need to be known in all his bits and pieces by one person, the analyst. To be known means to feel integrated at least in the person of the analyst. This is the ordinary stuff of infant life, and an infant who has had no one person to gather his bits together starts with a handicap in his own self-integrating task, and perhaps he cannot succeed, or at any rate cannot maintain integration with confidence....
There are long stretches of time in a normal infant's life in which a baby does not mind whether he is many bits or one whole being, or whether he lives in his mother's face or in his own body, provided that from time to time he comes together and feels something. [p. 150]
Winnicott then provides the reader with a major revision of analytic technique.
He accomplishes this so subtly that the reader is apt not to notice it if he is
not attending carefully to what is going on in the writing. Nothing short of a
new way of being with and talking to patients is being offered to the reader,
without preaching or fanfare: "Sometimes we must interpret4this [the patient's
giving every detail of his week-end] as the patient's need to be known in all
his bits and pieces by one person, the analyst." The phrase "sometimes we must"
addresses the reader as a colleague who is familiar with the clinical situation
being described, and who has very likely felt it necessary to intervene in the
way Winnicott describes. Perhaps the reader/analyst has not fully named for
himself what he has been experiencing and doing with his patient. The language
does not debunk the angry resistance interpretation that the reader/analyst has
either made or has been inclined to make in response to feelings of frustration
and sense of failure. Winnicott, by means of the language with which he
addresses the reader, provides an experience in reading, one that helps the
reader undefensively gather together his own unarticulated experiences from his
own analysis and from his analytic work with patients.
Moreover, the simple phrase "very common experience" conveys an important
theoretical concept (again without calling attention to itself): primitive
states of unintegration are not restricted to the analysis of severely disturbed
patients; such states regularly occur in the analysis of all our patients,
including the healthiest ones. This writing "technique" does not have the feel
of manipulation of the reader: rather, it feels like a good interpretation-a
statement that puts into words what the reader/analyst has known all along from
personal experience, but has not known that he has known it, and has not known
it in the verbally symbolized, integrated way that he is coming to know it.
The second paragraph of the passage being discussed is remarkable:
There are long stretches of time in a normal infant's life in which a baby does not mind whether he is in many bits or one whole being, or whether he lives in his mother's face or in his own body, provided that from time to time he comes together and feels something.
The reader of the sentence being discussed is not moved to question how
Winnicott can possibly know what an infant feels, or to point out that
regressions in the analyses of children and adults (whether psychotic,
depressed, or quite healthy) bear a very uncertain correlation with infantile
experience. Rather, the reader is inclined to suspend disbelief for a time, and
to enter into the experience of reading (with Winnicott), allowing himself to be
carried by the music of the language and ideas. The reader lives an experience
in the act of reading that is something like that of the imagined infant who
does not mind whether he is in many bits (experiencing a floating feeling that
accompanies nonlinear thinking) or one whole being (experiencing a "momentary
stay against confusion" [Frost 1939, p. 777]). Winnicott's writing, like a guide
"who only has at heart your getting lost" (Frost 1947, p. 341), ensures that we
will never get it right in any final way, and we do not mind.
Subliminally, the pun on mind allows the clause "a baby does not mind whether he
is in many bits or one whole being" to concentrate into itself different
overlapping meanings. The baby "does not mind" because the mother is there
"minding" him (taking care of him). And he "does not mind" in that he feels no
pressure to be "minded," that is, to create premature, defensive mindedness that
is disconnected from bodily experience. The writing itself, in punning, deftly
and un self-consciously, creates just such an experience of the pleasure of not
minding, of not having to know, of not having to pin down meaning, and instead
simply enjoying the liveliness of a fine experience in the medium of language
and ideas.
The language that Winnicott uses in describing the infant's coming together in
one place is surprising, in that the "place" where coming together occurs is not
a place at all, but an action (the act of feeling something). Moreover, the
infant, in "coming together," does not simply feel, he "feels something." The
word something has a delightful ambiguity to it: "something" is a concrete
thing, the object that is felt; and, at the same time, "something" is the most
indefinite of words, suggesting only that some feeling is being experienced.
This delicate ambiguity creates in the experience of reading the flickering of
the feeling-world of the infant, a world
loosely bound to objects, loosely localized, experienced now in the body as
objectless sensation, now in the more defined and localized sensation of feeling
an object, now in the mother's face.5
The unexpected turns, the quiet revolutions occurring in this early Winnicott
paper, are too numerous to address. I cannot resist, however, taking a moment
simply to marvel at the way in which Winnicott, the pediatrician, the child
analyst, nonchalantly jettisons the accrued technical language of fifty years of
psychoanalytic writing in favour of language that is alive with the experiences
being described:
...There are the quiet and the excited states. I think an infant cannot be said to be aware at the start that while feeling this and that in his cot or enjoying the skin stimulations of bathing, he is the same as himself screaming for immediate satisfaction, possessed by an urge to get at and destroy something unless satisfied by milk. This means that he does not know at first that the mother he is building up through his quiet experiences is the same as the power behind the breasts that he has in his mind to destroy. [p. 151]
The infant has both quiet and excited states-everyone who has spent time with a
baby knows this, but why had no one thought to put it this way? The baby feels
"this and that" [there is ease in the language, just as there is ease in the
baby's state of mind-body], and enjoys the "skin stimulation of bathing" and
"cannot be said to be aware ... that [in the quiet states] ... he is the same as
himself screaming for immediate satisfaction..." How better to describe the
feeling of continuity of identity over different feeling/meaning states than
with unobtrusive alliteration of S sounds-sixteen times in one sentence-in words
carrying a very wide range of meaning, including:states, start, skin,
stimulation, same, screaming, satisfaction, something,andsatisfied?6
Winnicott continues:
Also I think there is not necessarily an integration between a child asleep and a child awake... .Once dreams are remembered and even conveyed somehow to a third person, the dissociation is broken down a little; but some people never clearly remember their dreams, and children depend very much on adults for getting to know their dreams. It is normal for small children to have anxiety dreams and terrors. At these times children need someone to help them to remember what they dreamed. It is a valuable experience whenever a dream is both dreamed and remembered, precisely because of the breakdown of dissociation that this represents. [p. 151, italics in original]
In this part of the paper, Winnicott speaks of the importance of the experience
of the child's dream being conveyed "somehow to a third person." Every time I
read this sentence, I find it jarring and confusing. I attempt to account for a
third person in the apparently two-person experience of a dream (not yet the
child's creation or possession) being "conveyed somehow" to a third person. Is
the third person the experience of the father's symbolic presence even in his
absence? Perhaps, but such an idea seems too much an experience of the mind
disconnected from the bodily feel, the sense of aliveness that one experiences,
when engaging with a child in spoken or unspoken conversation. A dream can be
unobtrusively inserted into a conversation or into playing, sometimes
wordlessly, because the child is the dream before the dream is the child's.
Thus, from this perspective, the three people are the dreaming child, the waking
child, and the adult. This interpretation is suggested by Winnicott's language,
but the reader, once again, must do the work of imaginatively entering into the
experience of reading. The language quietly creates (as opposed to discusses)
the confusion that the reader/child experiences about how many people are
present in the act of conveying a dream to an adult. The reader experiences what
it feels like for a child to be two people and not to notice that experience
until an adult gives him help in "getting to know ... [what are becoming his]
dreams." "Getting to know" his dreams-the expression is uniquely Winnicott; no
one else could have written these words. The phrase is implicitly a metaphor in
which an adult "makes the introductions" in the first meeting of a waking child
and the child's dreams. In this imaginary social event, not only is the child
learning that he has a dream life, but also the child's unconscious is learning
that "it" (who, in health, is forever in the process of becoming "I") has a
waking life.
The metaphorical language of this passage, without the slightest evidence of
strain, is carrying a heavy theoretical load. First of all, there is the matter
that as Freud (1915) put it, the unconscious "is alive" (p. 190), and
consequently, "getting to know" one's dreams constitutes no less than the
beginnings of healthy communication at the "frontier" (p. 193) of the
unconscious and preconscious mind. As the waking child and the dreaming child
become acquainted with one another (i.e., as the child comes to experience
himself as the same person who has both a waking life and a dream life), the
experience of dreaming feels less strange (other to oneself) and hence less
frightening.7
It might be said that when a dream is both dreamed and remembered, the
conversation between the conscious-preconscious and the unconscious aspects of
mind across the repression barrier is enhanced. But having put it in these
terms, the reasons for the enjoyment to be taken in Winnicott's writing become
all the more apparent. In contrast to the noun-laden language of the
preconscious, conscious, unconscious, repression, and so on, Winnicott's
language seems to be all verb: "feeling something," "getting to know their
dreams," "screaming," "possessed," and so on.
Having discussed the infant's early experience of coming together (in health)
from his experience of living in bits and pieces (unintegration) and from a
variety of forms of dissociations (e.g., the dissociation of dreaming and waking
states), Winnicott turns his attention in "Primitive Emotional Development" to
the infant's experience of his earliest relations with external reality:
In terms of baby and mother's breast (I am not claiming that the breast is essential as a vehicle of mother-love), the baby has instinctual urges and predatory ideas. The mother has a breast and the power to produce milk, and the idea that she would like to be attacked by a hungry baby. These two phenomena do not come into relation with each other till the mother and child live an experience together. The mother being mature and physically able has to be the one with tolerance and understanding, so that it is she who produces a situation that may with luck result in the first tie the infant makes with an external object, an object that is external to the self from the infant's point of view. [p. 152, italics in original]
In this passage, the language is doing far more than is apparent. "...The baby
[at this juncture] has instinctual urges and predatory ideas. The mother [with
an internal life quite separate from that of the infant] has a breast and the
power to produce milk, and the idea that she would like to be attacked by a
hungry baby." The deadly seriousness (and violence) of these words- instinctual
urges, predatory feelings, power, attack-plays off against the whimsy and humour
of the intentionally overdrawn images. The notion of a baby with predatory
ideas" conjures up images of a scheming, mastermind criminal in diapers. And in
a similar way, the notion of a mother who would like to be "attacked by a hungry
baby" stirs up images of a woman (with large breasts engorged with milk) walking
through dimly lit alleys at night, hoping to be violently assaulted by a hoodlum
baby with a terrible craving for milk. The language, at once serious and playful
(at times even ridiculous), creates a sense of the complementarity of the
internal states of mother and infant, a complementarity that is going on only in
parallel, and not yet in relation to one another.
In the sentence that immediately follows, we find one of Winnicott's most
important theoretical contributions to psychoanalysis, an idea that has
significantly shaped the second fifty years of the history of psychoanalytic
thought. As the idea is rendered here, it is to my mind even more richly
suggestive than it is in later, more familiar forms: "These two phenomena [the
infant with predatory urges and ideas, and the mother with instinctual urges and
the wish to be attacked by a hungry baby] do not come into relation with each
other till the mother and child live an expeience together."
"Live an experience together"-what makes this phrase remarkable is the
unexpected word live. The mother and child do not "take part in," "share,"
"participate in," or "enter into" an experience together; they live an
experience together. In this single phrase, Winnicott is suggesting (though I
think he was not fully aware of this as he wrote it) that he is in the process
of transforming psychoanalysis, both as a theory and as a therapeutic
relationship, in away that involves altering the notion of what is most
fundamental to human psychology. No longer will desiring and regulating desire
(Freud), loving, hating, and making reparations (Klein), or object-seeking and
object-relating (Fairbairn) constitute what is of greatest importance in the
development of the psyche-soma from its beginnings and continuing throughout
life. Instead, what Winnicott starts to lay out here for the first time is the
idea that the central organizing thread of psychological
development, from its inception, is the experience of being alive and the
consequences of disruptions to that continuity of being.
The specific way in which Winnicott uses language in this passage is critical to
the nature of the meanings being generated. In the phrase "live an experience
together," live is a transitive verb, taking experience as its object. Living an
experience is an act of doing something to someone or something (as much as the
act of hitting a ball is an act of doing something to the ball); it is an act of
infusing experience with life. Human experience does not have life until we live
it (as opposed to simply having it in an operational way). Mother and child do
not come into relation to one another until they each do something to
experience-that is, they live it together, not simply at the same time, but
while experiencing and responding to one another's separate acts of being alive
in living the experience.
The paragraph concludes: "The mother being mature and physically able has to be
the one with tolerance and understanding so that it is she who produces a
situation that may with luck result in the first tie the infant makes with an
external object, an object that is external to the self from the infant's point
of view" (p. 152). The unstated paradox that emerges here involves the idea that
living an experience together serves to separate the mother and infant (to bring
them "into relation with each other" as separate entities, from the infant's
perspective). This paradox lies at the heart of the experience of illusion: "I
think of the process as if two lines came from opposite directions, liable to
come near each other. If they overlap, there is a moment of illusion-a bit of
experience which the infant can take as either his hallucination or a thing
belonging to external reality" (p. 152, italics in original).
Of course, what is being introduced is the concept that Winnicott (1951) later
termed "transitional phenomena" (p. 2). The "moment of illusion" is a moment of
psychological "overlap" of the mother and infant: a moment in which the mother
lives an experience with the infant in which she
actively/unconsciously/naturally provides herself as an object that can be
experienced by the infant as the infant's creation (an unnoticed experience
because there is nothing that is not what is expected) or as the infant's
discovery (an event with a quality of otherness in a world external to the
infant's sense of self).
In other language, the infant comes to the breast when excited, and ready to hallucinate something fit to be attacked. At that moment the actual nipple appears and he is able to feel it was that nipple that he hallucinated. So his ideas are enriched by actual details of sight, feel, smell, and next time this material is used in the hallucination. In this way he starts to build a capacity to conjure up what is actually available. The mother has to go on giving the infant this type of experience. [pp. 152-153]
What Winnicott is attempting to describe (and succeeds in capturing through his
use of language) is not simply an experience, but a way of experiencing that is
lighter, more full of darting energy than other ways of experiencing. The
initial metaphor with which he introduces this way of experiencing involves the
image of mother and infant as two lines (or is it lives?) coming from opposite
directions (from the world of magic and from the world of grounded consensual
reality), which are "liable to come near each other." The word liable is
unexpected, with its connotation of chance events (of an unwelcome nature?). Is
there a hint of irony about accidents serving as a port of entry into the "real
world"?
For Winnicott, the maternal provision is even more complex than that of creating
a psychological-interpersonal field in which the infant gains entry at the same
moment into external reality, internal reality, and the experience of illusion.
In "Primitive Emotional Development," he states that the mother's task at this
stage involves protecting "her infant from complications that cannot yet be
understood by the infant" (p. 153). Complications is a word newly made in this
sentence. In Winnicott's hands, complications takes on a rather specific set of
meanings having to do with a convergence of internal and external stimuli that
have a relationship to one another, one that is beyond the capacity of the
infant to understand. A few years later, in speaking of the mother's efforts
"not to introduce complications beyond what the infant can understand and allow
for," Winnicott (1949) added that "in particular she tries to insulate her baby
from coincidences" (p. 245). Coincidences is a word even more richly enigmatic
than complications. It is a word with a long and troubling history in Western
myth and literature. (Sophocles' version of the Oedipus myth represents only one
instance of the ruin that "coincidence" can leave in its wake.)
Winnicott does not explain what he means by coincidences or complications, much
less how one goes about insulating babies from them. His indefinite, enigmatic
language does not fill a space with knowledge; it opens up a space for thinking,
imagining, and freshly experiencing.
One possible reading of the words complications and coincidences (as Winnicott
is using/creating them) that I sometimes find useful goes as follows:
Coincidences or complications from which a baby needs to be insulated involve
chance simultaneities of events taking place in the infant's internal and
external realities at a time when the two are only beginning to be
differentiated from one another. For instance, an infant who is hungry may
become both fearful and rageful while waiting longer for the mother than the
infant can tolerate. The mother may be feeling preoccupied and distraught for
reasons that have nothing to do with the infant, perhaps a consequence of a
recent argument with her husband, or a physical pain that she fears is a symptom
of a serious illness. The simultaneity of the internal event (the infant's
hunger, fear, rage) and the external event (the mother's emotional absence) is a
coincidence that the infant cannot understand. He makes sense of it by imagining
that it is his anger and predatory urges that have killed the mother. The mother
who earlier wished to be attacked by a hungry baby is gone, and in her place is
a lifeless mother, passively allowing herself to be attacked by the hungry baby,
like carrion available to be consumed by vultures.
Coincidence leads the infant to defensively bring a degree of order and control
to his experience by drawing what was becoming the external world back into the
internal world by means of omnipotent fantasy: "I killed her." In contrast, when
a mother and child are able to "live an experience together," the vitality of
the child's internal world is recognized and met by the external world (the
mother's act of living the experience together with the child). Winnicott does
not present these ideas explicitly, but they are there to be found/created by
the reader.
A note of caution is needed here with regard to the license a reader may take in
creating a text, and that caveat is provided by Winnicott himself. It is
implicit in all Winnicott's writing that creativity must not be valorized above
all else. Creativity is not only worthless-it is lethal in a literal sense in
the case of an infant when disconnected from objectivity, that is, when
disconnected from acceptance of external reality. An infant
forever hallucinating what he needs will starve to death; a reader who loses
touch with the writing will not be able to learn from it.
Winnicott's conception of the infant's earliest experience of accepting external
reality is as beautifully rendered as it is subtle in content: