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Chapter Seven<br />

A Discussion<br />

The Fishhook<br />

The title of this piece<br />

comes from a moment in<br />

the session when one<br />

member of the group<br />

compares getting patients<br />

to come more frequently to<br />

therapy to putting bait on a<br />

fishhook.<br />

(‘More frequently’ in this<br />

context means twice or<br />

more each week).<br />

The comparison, at face<br />

value, refers to the way<br />

that one has to witness and<br />

experience something like<br />

baiting a hook, rather than<br />

being told (or reading) how<br />

to do it. However, there are<br />

many layers of meaning<br />

condensed into this<br />

metaphor.<br />

Condensation<br />

predominates in the session<br />

(as a key characteristic of<br />

the unconscious).<br />

Chapter Seven – A Discussion – Page 236<br />

Description Analysis Interpretation<br />

This is the penultimate<br />

session of the semester<br />

and of the whole<br />

course. There is a<br />

different structure<br />

(discussion followed by<br />

a case presentation).<br />

The group is now more<br />

able than at the start of<br />

the semester to work in<br />

an associative way.<br />

People bring back<br />

strong feelings from the<br />

week before. There are<br />

reflections on the<br />

course, and the<br />

semester, and different<br />

preferences expressed.<br />

The image of the<br />

fishhook emerges in<br />

discussion. There are<br />

more differences<br />

named up to the break.<br />

In the break, the staff<br />

direct their attention<br />

away from the group to<br />

repairing the mistakes<br />

of others.<br />

The second half of the<br />

session involves a case<br />

presentation by one of<br />

the tutors.<br />

There is an impact of<br />

the case from last<br />

week.<br />

There are dynamics<br />

around ending,<br />

generated by the<br />

timing of this session,<br />

which contribute to<br />

avoidance.<br />

There is an<br />

intertwining of Task,<br />

Group and Clinical<br />

foci, and a Reference<br />

Locator is elaborated.<br />

Associative capacity<br />

has grown, as has<br />

ability to go to and<br />

fro between sites and<br />

levels. There is more<br />

room than usual in<br />

this session for these<br />

capacities to be used.<br />

Two examples are<br />

given.<br />

There are:<br />

Developmental Issues<br />

and Group Issues.<br />

The impossibility of<br />

the primary task is<br />

considered.<br />

Because interpretation<br />

is relatively missing<br />

from the session, there<br />

is enactment.<br />

There is an increasing<br />

fullness of portrayals.<br />

Underlying stories<br />

include: The playwithin-a-play,<br />

The<br />

teaching couple,<br />

Developmental roles,<br />

Condensed roles,<br />

Punctuation of a<br />

developmental shift,<br />

Ron’s question, Cueing<br />

and eruption.<br />

All the issues and<br />

dynamics contained in<br />

these stories are<br />

managed.<br />

The students are<br />

hooked, and leaving is<br />

going to be painful, and<br />

there is anxiety that it<br />

may be destructive.<br />

Avoidance is<br />

overwhelming and the<br />

staff do not address it,<br />

leading to the outcome<br />

in Session Fifteen<br />

(discussed in Chapter<br />

Nine).<br />

Table 7.3<br />

A summary of description, analysis and interpretation of data in Chapter Seven.

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