Reading this book leads to deeper and more secret levels of the psychoanalytic experience, those that allow a contact with the Unconscious and its fantasies which, from obscurity, steer and powerfully influence the destiny of individuals, groups and sometimes entire nations. The path of exploration chosen by the authors is the most effective and convincing: the clinic, presented here at a high- quality level and complemented by refined and harmoniously consistent theoret- ical reflections. This publication has a decidedly international flavor and provides the most up-to-date and comprehensive view on the subject of unconscious fanta- sies, a dimension of the human psyche about which Psychoanalysis has developed a specific and absolutely unparalleled expertise. Stefano Bolognini, President, International Psychoanalytical Association Nancy Goodman and Paula Ellman propose a creative structure for revisiting the concept of Unconscious Fantasy. A dialogue is developed among excellent clini- cians/authors belonging to different psychoanalytic cultures, based on clinical presentations. They focus on “finding the unconscious fantasy in the psycho­ analytic encounter” which “brings processing and meaning to what was previ- ously unrecognized” in my words an “as yet situation” – even in situations of trauma or physical pain. This book generously opens multiple perspectives, so the readers continue this dialogue exploring how they create in their own work the best conditions with their patients for the unspoken to be heard. I highly recommend this book. Haydée Faimberg, author of The Telescoping of Generations An essential text book for all psychotherapists and psychoanalysts on how to dis- cover the unconscious fantasy in psychoanalytic treatment. This book may be read as a mystery novel with two smart detectives, Nancy R. Goodman and Paula L. Ellman, in search of discovering the unconscious fantasies of the clinical cases of body pain and trauma with colleagues from across the globe of analytic thinking. David Rosenfeld, M.D., Ex Vice President IPA, Professor for Buenos Aires University, recipient of Sigourney and Hayman Awards and author of The Body Speaks: Body Image Delusions and Hypochondria Character is destiny, and unconscious fantasies form the mind-molding DNA that pattern each person”s unique character. In these engaging and remarkably candid contributions, clinicians of diverse theoretical backgrounds offer clinical reports alive in their actuality, each account followed by a dialogue of serious questions and reflections. These frank discussions expose and explore the rocky paths by which those hidden soul-shaping fantasies can be uncovered. This is analysis in vivo. Reading this work offers the stimulation and learning that comes from taking part in a seminar with master clinicians. Here, analysis lives. Warren S. Poland, M.D., author of Intimacy and Separateness in Psychoanalysis Paula Ellman and Nancy Goodman have produced a most unusual book that functions at one and the same time on a number of different levels. The book itself can perhaps be best considered as scholarly research in action. It brings together writers from varying clinico-theoretical orientations, asking each to con- sider the concept of unconscious phantasy not as a theoretical concept but as something discovered, a living evolving phenomenon in their clinical work. The editors in their scholarly introduction, foreground a tension in psychoanalysis that takes it origin at the earliest beginnings of our discipline – a kind of clinico- theoretic bifurcation between the concepts of “trauma” and “unconscious fantasy”. The editors are to be congratulated on having done much to repair this split and in so doing show how different ways of thinking can enrich each other. The book will be a most valuable research and clinical reference, a real “work- book” for all psychoanalytically oriented clinicians. David Bell, author of Psychoanalysis and Culture: A Kleinian Perspective Finding Unconscious Fantasy in Narrative, Trauma, and Body Pain Finding Unconscious Fantasy in Narrative, Trauma, and Body Pain: A Clinical Guide demonstrates that the concept of the unconscious is profoundly relevant for understanding the mind, psychic pain, and traumatic human suffering. Paula L. Ellman and Nancy R. Goodman (editors) established the book to discover how symbolization takes place through the “finding of unconscious fantasy” in ways that mend the historic split between trauma and fantasy. Cases present the dramatic encounters between patient and therapist when confronting discovery of the unconscious in the presence of trauma and body pain, along with narrative. Unconscious fantasy has a central role in both clinical and theoretical psycho- analysis. This volume is a guide to the workings of the dyad and the therapeutic action of “finding” unconscious meanings. Staying close to the clinical engage- ment of analyst and patient shows the transformative nature of the “finding” process as the dyad works with all aspects of the unconscious mind. Finding Unconscious Fantasy in Narrative, Trauma, and Body Pain: A Clinical Guide uses the immediacy of clinical material to show how trauma becomes known in the “here and now” of enactment processes and accompanies the more symbol- ized narratives of transference and countertransference. This book features con- tributions from a rich variety of theoretical traditions illustrating working models including Klein, Arlow, and Bion and from leaders in the fields of narrative, trauma, and psychosomatics. Whether working with narrative, trauma or body pain, unconscious fantasy may seem out of reach. Attending to the analyst/ patient process of finding the derivatives of unconscious fantasy offers a potent roadmap for the way psychoanalytic engagement uncovers deep layers of the mind. In focusing on the places of trauma and psychosomatic concreteness, along with narrative, Finding Unconscious Fantasy in Narrative, Trauma, and Body Pain: A Clinical Guide shows the vitality of “finding” unconscious fantasy and its effect in initiating a symbolizing process. Chapters in this book bring to life the sufferings and capacities of individual patients with actual verbatim process material demonstrating how therapists and patients discover and uncover the derivatives of unconscious fantasy. Finding the unconscious meanings in states of trauma, body expressions, and transference/countertransference enactments becomes part of the therapeutic dialogue between therapists and patients unraveling symptoms and allowing transformations. Learning how therapeutic work progresses to uncover unconscious fantasy will benefit all therapists and students of psychoanalysis and psychoanalytic psychotherapy interested to know more about the psychoanalytic dialogue. Paula L. Ellman, Ph.D., ABPP, is a Training and Supervising Analyst in the Contemporary Freudian Society, Washington, DC Program and the International Psychoanalytical Association. She is Vice President of the CFS Board, a Member of the Committee on Women and Psychoanalysis of the IPA (COWAP), a Board Member of the North America Psychoanalytic Confederation (NAPsaC) representing CFS, and Visiting Professor at the Sino-A merican Continuing Training Project for Wuhan Hospital for Psychotherapy, Wuhan, China. She has a private practice in psychotherapy and psychoanalysis in North Bethesda, Maryland and Washington, DC. Nancy R. Goodman, Ph.D., is a Training and Supervising Analyst with the Contemporary Freudian Society, Washington, DC Program and the International Psychoanalytic Association. She publishes on the topics of psychic trauma, female development, sadomasochism, and witnessing processes and is Director of the Virtual Psychoanalytic Museum, www.virtualpsychoanalyticmuseum.org. She maintains a psychoanalytic practice in Bethesda, MD. Finding Unconscious Fantasy in Narrative, Trauma, and Body Pain A Clinical Guide Edited by Paula L. Ellman and Nancy R. Goodman First published 2017 by Routledge 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 711 Third Avenue, New York, NY 10017 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2017 selection and editorial matter, Paula L. Ellman and Nancy R. Goodman; individual chapters, the contributors The right of the editors to be identified as the authors of the editorial matter, and of the authors for their individual chapters, has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data Names: Ellman, Paula Lisette, editor. | Goodman, Nancy (Nancy R.), editor. Title: Finding unconscious fantasy in narrative, trauma, and pain : a clinical guide / edited by Paula L. Ellman and Nancy R. Goodman. Description: Abingdon, Oxon ; New York, NY : Routledge, 2017. | Includes bibliographical references and index. Identifiers: LCCN 2016054951| ISBN 9781138955004 (hardback : alk. paper) | ISBN 9781138955011 (pbk. : alk. paper) | ISBN 9781315666631 (e-book) Subjects: LCSH: Fantasy. | Psychic trauma. | Psychoanalysis. | Psychotherapy. Classification: LCC BF175.5.F36 F56 2017 | DDC 154.3–dc23 LC record available at https://lccn.loc.gov/2016054951 ISBN: 978-1-138-95500-4 (hbk) ISBN: 978-1-138-95501-1 (pbk) ISBN: 978-1-315-66663-1 (ebk) Typeset in Times New Roman by Wearset Ltd, Boldon, Tyne and Wear Contents Notes on contributors ix Acknowledgments xv 1 Finding unconscious fantasy 1 PAULA L. ELLMAN AND NANCy R. GOODMAN  2  The “Finding Theater”: a schema for finding  unconscious fantasy 22 NANCy R. GOODMAN 3 Finding unconscious fantasy: contact and therapeutic action 35 PAULA L. ELLMAN 4 The psychoanalytic treatment of an adult patient traumatized in early childhood 43 WERNER BOHLEBER  5  The impossible and the possible: finding unconscious  fantasy dimensions in Werner Bohleber’s case of Mr. A. 52 NANCy R. GOODMAN 6 Unconscious phantasy: discussion of Werner Bohleber’s case 65 ELIAS M. DA ROCHA BARROS AND ELIzABETH L. DA ROCHA BARROS 7 A Soma case of pain 74 PAULA L. ELLMAN vi Contents 8 Painful transference and pains of transference: discussion of Paula Ellman’s case 87 MARILIA AISENSTEIN 9 Discussion of Dr. Paula Ellman’s case 93 BATyA R. MONDER 10 Babette, interrupted 104 IRENE CAIRO 11 Discussion of Dr. Irene Cairo’s case: Babette, interrupted 117 HARRIET I. BASSECHES 12 Noises and voices: discussion on Babette, interrupted 125 CATALINA BRONSTEIN 13 Not quite a princess 134 JANICE S. LIEBERMAN 14 Mirror, mirror on the wall: who’s the fairest of us all? Comments on Janice Lieberman’s case: “Not quite a princess” 147 CAROLyN S. ELLMAN 15 The broken doll: discovering the unconscious fantasy in the case of Karen 157 ILANy KOGAN 16 Unconscious traumatic fantasy 168 DORI LAUB AND NANETTE C. AUERHAHN 17 The dawn of unconscious phantasy 182 ROBERT OELSNER 18 Fantasy and trauma 199 ARLENE KRAMER RICHARDS 19 Searching unconscious phantasy 209 ROGELIO SOSNIK Index 222 Contributors Editors Paula L. Ellman, Ph.D., ABPP, is a Training and Supervising Analyst in the Contemporary Freudian Society (CFS) and the IPA, Vice President of the CFS Board, past institute director of the Washington Program of CFS, a Member of the Committee on Women and Psychoanalysis of the IPA (COWAP) and a Board Member of the North America Psychoanalytic Con- federation (NAPsaC). She is Visiting Professor at the Sino- American Contin- uing Training Project for Wuhan Hospital for Psychotherapy, Wuhan China. She has written and presented in the areas of female psychology, enactment, terror, sadomasochism, and unconscious fantasy. Recent publications include: “Donald Winnicott Today: Book Review” (co- authored with Nancy Goodman) Division Review (2014); Battling the Life and Death Forces of Sadomaso- chism: Clinical Perspectives (co-e dited with Harriet Basseches and Nancy Goodman, Karnac, 2013); and Courage to Fight Violence against Women: Psychoanalytic and Multidisciplinary Perspectives (co-e dited with Nancy Goodman in the Psychoanalysis and Women series (Karnac, 2017)). She has a psychoanalytic practice in North Bethesda, Maryland and Washington, DC. Nancy R. Goodman, Ph.D., is a Training and Supervising Analyst with the CFS and the IPA. She is on the permanent faculty of the CFS and has served as Institute Director of the CFS Washington, DC Program. She writes on female development, analytic listening, Holocaust Trauma, enactments, sado- masochism, and unconscious fantasy. Her most recent publications include: “Donald Winnicott Today: Book Review” (co- authored with Paula Ellman) Division Review (2014); Battling the Life and Death Forces of Sadomaso- chism: Clinical Perspectives (co-e dited with Harriet Basseches and Paula Ellman, Karnac, 2013); Psychoanalysis: Listening to Understand, Selection of Readings of Arlene Kramer Richards, ed. Nancy R. Goodman (IPBooks, 2013); The Power of Witnessing: Reflections, Reverberations, and Traces of the Holocaust – Trauma, Psychoanalysis, and the Living Mind (co- edited with Marilyn B. Meyers, Routledge, 2012); and Courage to Fight Violence against Women: Psychoanalytic and Multidisciplinary Perspectives (co- edited with