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* This article is reprinted from Thomas ogden’s recently published book, Rediscovering
Psychoanalysis: Thinking and Dreaming, Learning and Forgetting. new Library of
Psychoanalysis, London: Routledge, 2008.
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12 Bion’S FouR PRinCiPLeS oF MenTAL FunCTioning
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THoMAS H. ogDen, M.D. 13
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14 Bion’S FouR PRinCiPLeS oF MenTAL FunCTioning
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THoMAS H. ogDen, M.D. 15
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16 Bion’S FouR PRinCiPLeS oF MenTAL FunCTioning
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THoMAS H. ogDen, M.D. 17
The second of Bion’s ideas that is closely associated with his first princi-
ple of mental functioning is the notion that genuine thinking requires a tol-
erance for not knowing, a tolerance for “being in uncertainties, mysteries,
doubts, without any irritable reaching after fact and reason” (Keats, 1817;
quoted by Bion, 1970/1975a, p. 125) genuine thinking, though driven by
the need to know what is true, is at the same time characterized by a firm
recognition that conclusions are always inconclusive, endings are always
beginnings: “every emotional experience of knowledge gained is at the
same time an emotional experience of ignorance unilluminated” (Bion,
1992, p. 275). This aspect of Bion’s theory of thinking culminated in his
concept of “o” (1970/1975a, p. 26) — the unknowable, inexpressible truth
of one’s experience (see ogden, 2004a, for a discussion of the concept of
“o” and its clinical implications).
The concept of “binocular vision” (1962/1975c, p. 82) — “the need for
employing a technique of constantly changing points of view” (1959, p. 86)
— is the third of Bion’s ideas that i view as a “corollary” to his first princi-
ple of mental functioning. This concept holds that thinking necessarily
involves viewing reality from multiple vantage points (or “vertices,” Bion,
1970/1975a, p. 83) simultaneously, for example, from the points of view of
the conscious and the unconscious mind; the autistic-contiguous (ogden,
1987, 1989a, 1989b), the paranoid-schizoid, and depressive positions; the
work group and the basic assumption groups; the psychotic and the non-
psychotic parts of the personality, and so on. Reality viewed from a single
vantage point represents a failure to think. This can be seen in clearly patho-
logical circumstances such as hallucinations, delusions, perversions, and
mania, as well as in states that superficially do not appear pathological, for
example, instances of strident pacifism or rigid adherence to the views of a
school of psychoanalytic thought. viewing reality from multiple vantage
points allows each vertex (each way of viewing reality) to enter into
a mutually mutative conversation with other ways of seeing/knowing/
experiencing.
This idea of multiple vertices lies at the very heart of Bion’s conception
of sanity and insanity. if one has only one way of viewing reality, one can-
not think, one is psychotic. Sanity involves a capacity for generating and
maintaining a multiplicity of perspectives from which to view/experience
one’s life in the real world (including the reality of one’s own personality).
For example, a medical student in a state of relative psychological health
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18 Bion’S FouR PRinCiPLeS oF MenTAL FunCTioning
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THoMAS H. ogDen, M.D. 19
Bion, in this passage, is articulating for the first time the clinical basis for
his radical revision of Klein’s (1946/1975) concept of projective identifica-
tion (see ogden, 1979, 1986). Klein insisted that projective identification is
strictly an intrapsychic phenomenon. nevertheless, the language she used to
describe projective identification suggests an interpersonal dimension:
“Split-off parts of the ego are … projected on to the mother or, as i would
rather call it, into the mother” (Klein, 1946/1975, p. 8, italics in original). in
Bion’s psychological-interpersonal version of projective identification, the
analyst must be able to experience himself in accord with the feelings elicit-
ed in him by the real interpersonal pressure that accompanies “somebody
else’s phantasy”; yet, it is critical that the analyst at the same time be able
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20 Bion’S FouR PRinCiPLeS oF MenTAL FunCTioning
Bion continues:
in this way, mother and infant together think thoughts that had previously
been so disturbing as to be unthinkable by the infant on his own: “The activ-
ity we know as ‘thinking’ was in origin … projective identification” (Bion,
1962/1975c, p. 31).
in reconceptualizing projective identification in this way, Bion is express-
ing what i view as his second principle of mental functioning: it requires two
minds to think one’s most disturbing thoughts. The two minds engaged in
thinking may be those of the mother and infant, the group leader and group
member, the patient and analyst, the supervisor and supervisee, husband and
wife, and so on. The two minds may also be two “parts” of the personality:
the psychotic and non-psychotic parts of the personality (Bion,
1957/1967a); “the dreamer who dreams the dream” and “the dreamer who
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THoMAS H. ogDen, M.D. 21
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22 Bion’S FouR PRinCiPLeS oF MenTAL FunCTioning
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THoMAS H. ogDen, M.D. 23
capacity for “tolerated doubt” (p. 92). So far as the container is concerned,
there is an expansion of the capacity for doing unconscious psychological
work (i.e., dreaming one’s lived experience). The growth of the contained is
reflected in an enrichment of the range and depth of thoughts that one is able
to derive from one’s lived experience in the world.
under pathological conditions, the container may become destructive to
the contained resulting in a limitation of what one is able to “retain [of
one’s] … knowledge and experience” (p. 93). What one has learned from
experience is no longer available to oneself; one feels as if important parts
of oneself are missing. Conversely, the contained may overwhelm and
destroy the container, for example, in nightmares, when the dream-thought
becomes so disturbing as to overwhelm the capacity for dreaming, and, as a
result, the dreamer wakes up in a state of fright. Similarly, in children’s play
disruptions, the thought being “worked on” in play (the contained) over-
whelms the container (the capacity for playing). (For further discussion of
the concept of the container-contained and its relationship to Winnicott’s
concept of holding, see ogden, 2004b.)
viewing thoughts as the impetus for thinking leads the analyst in the clin-
ical setting to be continually asking himself what disturbing (unthinkable)
thought is the patient at any given moment in the analysis asking the analyst
to help him to think. The analyst is also aware that even as the patient is ask-
ing for help in thinking, the patient fears and hates the analyst for attempt-
ing to do just that: “Patients hate having feelings at all …” (Bion, 1987, p.
183).
The idea that the development of an apparatus for thinking takes place as
a response to disturbing thoughts also contributes to a theory of the thera-
peutic process: the analyst’s being receptive to, and doing psychological
work with, the patient’s unthinkable thoughts serves not as a substitute or
replacement for the patient’s capacity for thinking, but as an experience of
thinking with the patient in a way that serves to create conditions in which
the patient may be able to further develop his own inborn rudimentary
capacity for thinking (his own inborn capacity for alpha-function).
Thus, the goal of the psychoanalytic process is not that of helping the
patient resolve unconscious intrapsychic conflict (or any other emotional
problem); rather, the aim of psychoanalysis is to help the patient develop his
own capacity for thinking and feeling his experience. once that process is
underway, the patient is in a position to begin to confront and come to terms
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24 Bion’S FouR PRinCiPLeS oF MenTAL FunCTioning
with his own emotional problems. The patient is increasingly able to think
with people other than the analyst and to engage in kinds of “conversations”
with them and with himself that involve different aspects of his own
personality that previously had not been available to him for the purpose of
conscious, preconscious, and unconscious psychological work.
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THoMAS H. ogDen, M.D. 25
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26 Bion’S FouR PRinCiPLeS oF MenTAL FunCTioning
i will now offer an illustration of the way in which Bion’s clinical thinking
is informed by his theory of thinking and the four principles of mental func-
tioning that i believe underlie that theory. The clinical work that i will dis-
cuss is taken from the 16th of the clinical seminars that Bion conducted in
Sao Paolo in 1978 (Bion, 1987, pp. 200-202). The seminar begins:
This opening paragraph is confusing to me each time i read it. The pro-
noun she is ambiguous in the phrase, “Then she started shouting….” is the
presenter using the pronoun she to continue telling the dream in the patient’s
words, in which case “she” (who is shouting) refers to a figure in the dream?
or has the presenter begun to tell the dream to Bion in his own words, in
which case “she” is the patient, and the sentences in quotation marks that
follow are the words that the patient shouted at the presenter: “What are you
doing there behind me? Tell me immediately. you are a dishonest liar!” it is
impossible for Bion (who is listening to the presentation, not reading it) to
know whether Mrs J in the dream is shouting at the patient or whether the
patient in waking life is shouting at the presenter. each time i read this pas-
sage, it is only after taking pains to figure out what the quotation marks are
indicating that i am able to determine that the patient is interrupting her own
telling of her dream to shout at the analyst. The analyst remarks to Bion,
“This took me by surprise.” This took me by surprise, too, because of the
way the presenter is making it difficult for the reader, and impossible for
Bion, to know what is dream-life and what is waking life.
Bion responds:
i wonder what the difficulty is. if she knows that you are a dis-
honest liar, then obviously you would be telling lies behind her
back. At the same time, why ask you what you are doing behind
her back? Presumably you will only tell her more lies.
(p. 200)
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THoMAS H. ogDen, M.D. 27
The presenter is not a liar, but he has made it very difficult to understand
what has happened in the session. Perhaps, this confusing rendering of the
session led Bion to say, “i wonder what the difficulty is?” in so doing, Bion
leaves open the possibility that he is asking the presenter what his difficul-
ty is (in addition to asking about the patient’s difficulty).
Bion continues:
Alternatively, is she afraid that you do not tell lies? if she thinks
that there is a chance that you speak the truth, that would explain
why she asks you what you are doing.
(p. 200)
Bion is suggesting that the patient is afraid of (and, at the same time, high-
ly values) the way the analyst thinks — a way of thinking that is concerned
with what is true to the emotional experience that is occurring between
them. What is being suggested here reflects Bion’s first principle of mental
functioning — the idea that the need to know the truth is the most funda-
mental impetus for the development of thinking. At this moment in the ses-
sion, that truth involves the recognition that the patient is unable to differ-
entiate between being awake and dreaming, i.e., that the patient is psychot-
ic.
The patient attempts to prevent the analyst from thinking, not only by sur-
prising him by yelling at him, but also by equating thinking and “doing,”
and by insisting that he tell her what he is doing immediately, i.e., without
thought on his part, thereby ending genuine thinking by turning it into
reflexive, fearful action. i believe that in this part of the seminar, the pre-
senter is not only telling Bion about the very disturbing experience that he
had with this patient, he is showing it to Bion (and the reader) by unwit-
tingly making it difficult for the reader, and impossible for Bion, to differ-
entiate between what is dream-life and what is waking life. in this way, the
presenter is engendering in Bion something like the effect on him of the
patient’s psychosis, which the presenter is unable to think on his own.
Bion goes on:
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28 Bion’S FouR PRinCiPLeS oF MenTAL FunCTioning
in pointing out the contradiction that the patient views the analyst as a dis-
honest liar and yet continues to see him for analysis, Bion is asking the ques-
tion that he asks far more frequently than any other question in the clinical
seminars: “Why has the patient come for analysis?” This question reflects
the second of Bion’s principles of mental functioning — the idea that it
takes two minds to think one’s most disturbing thoughts (and, by extension,
that it is for this reason that patients come to analysis). For Bion, the
omnipresent clinical question is: “What is the thought, the emotional prob-
lem, that the patient (ambivalently) is asking the analyst to help him to
think?”
The seminar continues:
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THoMAS H. ogDen, M.D. 29
of the way the analyst was thinking. At the same time, she was afraid that
he would not be able to remain an analyst who may be able to help her to
regain her sanity by thinking and dreaming with her the terrifying experi-
ence that she could not think/dream on her own. in attempting to tell her
dream to the analyst, the patient’s capacity for thinking/dreaming fell apart
— she became increasingly unable to differentiate being awake and dream-
ing, and as a result she treated the analyst as if he were a figure in the dream.
How different it would have been had the presenter, instead of simply say-
ing, “i am listening,” had said, “you’re afraid that i will be so frightened of
you that i won’t be able to think when you attack me and, as a result, i won’t
be able to be an analyst who will be able to help you to think your thoughts
in a way that feels sane.” The latter is accurate in content, but sounds to me
like a rather stereotypic, analytic way of talking. in addition, i do not believe
that the patient, in her state of severe distress, was capable of listening to
more than the first few words of such a long and complex interpretation. By
contrast, the analyst’s statement, “i am listening,” has the ring of words spo-
ken by a person who is thinking and talking to another person (who is very
frightened) in a manner that is genuinely his own.
The patient responded not only by saying, “yes, that’s important”; in
addition, “She calmed down and continued describing her dream.” in other
words, by means of the experience of having her psychotic thoughts con-
tained by the analyst’s thinking, the patient was able, if only “for another
minute or two,” to think (perhaps for the first time in the session).
B: The patient said this was a dream. Did you believe her? it
sounds very likely that she wanted to stop you from seeing what
was in her mind, leaving her feeling naked. But she wasn’t able
to lock the door; she wasn’t able to make you leave; she wasn’t
able to put a stop to the analysis right away. So now you may
find out what kind of a person she is. However, there is always
a safeguard: if you give an interpretation she can say, “it doesn’t
matter — i don’t really think like that — it was only a
dream.”
(p. 201)
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30 Bion’S FouR PRinCiPLeS oF MenTAL FunCTioning
Bion responds here by saying, “The patient said that this was a dream.
Did you believe her?” Who other than Bion would have responded to “the
dream” in this way? Bion’s question (it seems to me) is intended to direct
the presenter’s attention to the fact that the patient is unable to dream,
unable to distinguish between internal and external reality, and unable to
distinguish between being awake and being asleep.
The patient, though seemingly describing a dream from the previous
night, had not awoken from that “dream,” which was not a real dream in the
sense that it did not involve a differentiation of conscious and unconscious
experience. it seems to me that the patient was experiencing in the session
a state of mind akin to a night-terror (a phenomenon in sleep that is not a
dream, but an experience of being unable to dream a terrifying experience).
(See ogden [2004c, 2005a] for discussions of genuine dreams, night-terrors,
and nightmares.) The presenter’s elegant interpretation, “i am listening,”
had the effect of helping the patient genuinely to awaken from her dream-
that-was-not-a-dream by containing the patient’s unthinkable dream-
thought.
Bion then addresses what he believes to be the nature of the patient’s pre-
viously undreamable thought. He views the dream as an expression of the
patient’s belief that she is not able to distinguish her thoughts from those of
the analyst and, therefore, cannot stop the analyst from “seeing what was in
her mind, leaving her feeling naked.” The experience of being seen naked
against one’s will is the opposite of feeling understood. it is closer to an
experience of being raped (perhaps it is this state that is represented in the
“dream” by the blood-stained garments).
Bion then makes a curious, somewhat enigmatic statement: “So now
[after demonstrating to the patient that you are able to continue to think
while she is yelling at you] you may find out what kind of person she is”
(Bion, 1987, p. 201). i believe that Bion is suggesting that, with the help of
the presenter’s calm and thoughtful response to the patient’s yelling at him,
the non-psychotic part of the patient’s personality may become a stronger
force in the analysis. The non-psychotic part of the personality is that aspect
of the patient that is able to think/dream, to do something uniquely her own
with her lived emotional experience. in this sense, the patient, at this point
in the session may be in a position to begin to dream herself into existence,
thus affording the presenter and the patient, herself, an opportunity to “find
out what kind of person she is.” This entire line of thought reflects Bion’s
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THoMAS H. ogDen, M.D. 31
fourth principle of mental functioning — the idea that even when the patient
is in the grip of a full-blown psychosis, the psychoanalytic function of the
personality remains operative, albeit in a highly circumscribed way. Such an
assumption underlies analytic work, not only with schizophrenic and other
severely disturbed patients, but also with the psychotic aspect of every
patient, supervisee, or group.
But Bion cautions, “However, there is always a safeguard: if you give an
interpretation she can say, ‘it doesn’t matter — i don’t really think like that
— it was only a dream.’ ” Here Bion is commenting on the effect of
thoughts on thinking: there may be a resurgence of the patient’s attack on
the analyst’s capacity for thinking as well as on her own. Although he does
not use the term, the form of attack that Bion is describing is what he else-
where calls reversible perspective (Bion, 1963/1975b, p. 50). Bion, in the
clinical seminars, scrupulously avoids technical language.
The non-thinking that Bion is pointing out involves a shift of figure and
ground in a way that undermines the analyst’s use of his capacity for
thoughtful observation: the patient claims (and believes her own claim) that
when the analyst describes “the figure” (for example, an interpretation of
personal meaning in a dream), the patient insists that the only reality is the
ground (for example, the “nonsensical” manifest content — “it doesn’t mat-
ter — i don’t really think like that — it was only a dream” [Bion, 1987, p.
201]). Thus, thoughts serve not to contribute to the development of think-
ing, but to the destruction of thinking. From the perspective of still another
of Bion’s ways of conceptualizing the relationship between thoughts and
thinking, the patient’s thought that dreams mean nothing (the contained) is
serving to destroy the capacity for patient and analyst to think together (the
container). These ideas reflect Bion’s third principle of mental functioning
— the notion that thinking develops in order to come to terms with disturb-
ing thoughts, and that a forceful interaction between thoughts and thinking
continues throughout one’s life.
The presenter continues:
She went on, “i was afraid the house-owner wouldn’t renew the
contract, complaining that i didn’t take care of the house —
although it was in an even worse condition when i first rented it.
With a magic wand she turned the nude portrait into a negro
woman dressed in a rose-coloured dress. The negro woman
started to move. i saw a door i had never seen before, opened it,
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32 Bion’S FouR PRinCiPLeS oF MenTAL FunCTioning
and found a dying plant. i was afraid the owner would be angry
because i hadn’t taken care of it. i tried to revive it with the
magic spell she had used, but couldn’t.” Then she began to shout
again, “What are you doing there? you are a liar. you are doing
something you don’t want to tell me about. i hate you. i want to
destroy you, tear you into pieces and throw the pieces away.”
She was very, very angry.
(p. 201)
There is the same confusing ambiguity in this paragraph that there was in
the opening paragraph of the seminar. is the figure in the dream shouting at
another dream figure or is the patient shouting at the analyst in waking life?
(it is only the punctuation — the fact that there are double quotation marks,
not single quotations marks, surrounding the words that are shouted — that
indicates that it is the patient who is shouting at the presenter and not a
dream figure shouting at the patient in the dream. Since Bion is listening to
the presentation and not reading it, it is impossible for him to know who is
shouting — the patient or a figure in the patient’s dream. The distinction
between being awake and being asleep is again disappearing. The patient,
herself, seems to me to be disappearing. As many times as i have read the
words, “i … found a dying plant,” i still misread the words and make them
say, “i … found a dying patient.”
Bion responds to this portion of the case presentation:
What are you doing to her? She has continued to talk, so she is
taking off her own disguises. if you take off the black skin, there
is a person there; if you take off the dream, she herself is there.
[Perhaps Bion is suggesting that the dream is not a dream, but an
assault on the non-psychotic part of the patient’s personality.
Without the meaning-destroying and dreamer-destroying
“dream,” there may be a person capable of thinking.] i think she
is worried about what you are doing to her. Why do you make
her speak the truth? it seems that you are only talking, but she
knows it isn’t only that. you are talking in some peculiar way
which makes her expose the truth ... So although it is horrible for
the patient, it is just as well for the analyst to remain able to
think. But we cannot settle this matter by being unable to be
angry or frightened; we have to be able to have these strong feel-
ings and be able to go on thinking clearly even when we have
them.
(p. 202)
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THoMAS H. ogDen, M.D. 33
The seminar ends with these comments by Bion. in the segment of the
session that Bion is discussing, the patient becomes increasingly frightened
in “the dream”/hallucination. Listening to the patient in this part of the ses-
sion, for me, is like watching a person drown. The patient feels that she is
dying or losing her mind — which amount to the same thing. virtually word
by word, we see the patient becoming increasingly a character in her own
dream; at the same time, the figures in her dream (the landlady and the
painting of the nude) are turning into living people who seem to the patient
to occupy her waking life.
The published fragment of the seminar contains only a very brief account
of the analytic session and does not include any of the presenter’s interven-
tions, or even his thoughts, after he said, “i am listening.” This artifact of the
editing and tape recording of the seminar contributes to the distressing feel-
ing that the patient’s disintegration is not being met by further attempts on
the part of the analyst to contain the patient’s terror.
Concluding Comments
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34 Bion’S FouR PRinCiPLeS oF MenTAL FunCTioning
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THoMAS H. ogDen, M.D. 35
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