In this remarkable survey of "the communicative repertory of
humans," John Gedo demonstrates the central importance to theory
and therapeutics of the communication of information. He begins by
surveying those modes of communication encountered in
psychoanalysis that go beyond the lexical meaning of verbal
dialogue, including "the music of speech," various protolinguistic
phenomena, and the language of the body. Then, turning to the
analytic dialogue, Gedo explores the implications of these
alternative modes of communication for psychoanalytic technique.
Individual chapters focus, in turn, on the creation of a "shared
language" between analyst and analysand, the consequences of the
analytic setting, the form in which the analyst casts particular
interventions, the curative limits of empathy, the analyst's
affectivity and its communication to the patient, and the semiotic
significance of countertransference and projective
identification.
Gedo does not proffer semiotics as a substitute for
metapsychology. He is explicit that communicative skill is always
dependdent on somatic events within the central nervous system.
Indeed, it is because Gedo's hierarchical approach to communication
builds on our current understanding of a hierarchically organized
central nervous system that his clincal observations become
insights into basic psychobiological functioning. Grounded in
Gedo's four decades of clinical experience, The Languages of
Psychoanalysis points to a new venue of clinical research and
conceptualization, one in which attentiveness to issues of
communication will not only foster linkages with contemporary
neuroscience, but also clarify and enlarge the therapeutic
possibilities of psychoanalytic treatment.
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