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Page 1: Enrique Pichon Rivière · Pichon, I witnessed his openness to the ideas of others, and his insistence on presenting his own formulations as provisional. I appreciated his brilliance,
Page 2: Enrique Pichon Rivière · Pichon, I witnessed his openness to the ideas of others, and his insistence on presenting his own formulations as provisional. I appreciated his brilliance,

EnriquePichonRivière:

PioneeroftheLink

DavidE.Scharff,MD,Editor

Page 3: Enrique Pichon Rivière · Pichon, I witnessed his openness to the ideas of others, and his insistence on presenting his own formulations as provisional. I appreciated his brilliance,

Copyright©2017

e-Book2017InternationalPsychotherapyInstitute

AllRightsReserved

This e-book contains material protected under International and FederalCopyrightLawsandTreaties.Thise-book is intended forpersonaluseonly.Anyunauthorizedreprintoruseofthismaterialisprohibited.Nopartofthisbookmaybeusedinanycommercialmannerwithoutexpresspermissionofthe author. Scholarlyuseof quotationsmusthaveproper attribution to thepublishedwork.Thisworkmaynotbedeconstructed,reverseengineeredorreproducedinanyotherformat.

CreatedintheUnitedStatesofAmerica

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TableofContents

AbouttheEditorandContributors

Introduction DavidE.Scharff,MD

EnriquePichonRivière:AnOutlineofHisPrincipalIdeasRobertLosso,MD

DiscussionbyLeaS.deSetton

TheContributionsofEnriquePichonRivière:ComparisonswithhisEuropeanContemporariesandwithModernTheory

DavidE.Scharff,MDComparisonwithObjectRelations

OfLinksandBonds:ThecomplexthoughtandpracticeofEnriquePichonRivièreJuanTubert-Oklander,MD,PhD

EnriquePichonRivière:HisContributionstoInstitutionalInterventionJoaquinPichonRivière

DiscussionByLeaS.deSetton

EpilogueDavidE.Scharff,MD

7

10

19

28

35

44

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AbouttheEditorandContributors

RobertoLosso,MD,isaPsychiatristandPsychoanalyst,amemberof the

Argentine Psychoanalytical Association and the International Psychoanalytical

Association. Consulting Professor, Faculty of Medicine, University of Buenos

Aires. Coordinating Committee, Family and Couple FEPAL (Latin American

Psychoanalytic Federation). Clinical Professor of Family and Couple Therapy,

John F. Kennedy University. Author, Family Psychoanalysis: Theoretical and

Technical Considerations. (Buenos Aires, Lumen). Italian version: Psicoanalisi

della famiglia. Percorsi theoretical-tecnici. (Milano, Franco Angeli), and several

textsonhispersonalexperiencewithPichonRivière.

JoaquínPichonRivière isaSocialPsychologistandPastPresidentofthe

AssociationofSocialPsychologistsoftheArgentina.HeiscurrentlyChairofthe

EthicalCommitteeofAPSRA, andbothadidactic andhonorarymemberof the

association. He published the first dictionary of Enrique Pichon Rivière’s

terminology and comments on social psychology, and Enrique & Arminda: A

photographic biography about Enrique Pichon Rivière and his wife, Arminda

Aberastury.

David E. Scharff, MD, is Chair of the Board, former Director and Co-

FounderoftheInternationalPsychotherapyInstituteinWashington,DC;Chairof

theInternationalPsychoanalyticAssociation’sCommitteeonFamilyandCouple

Psychoanalysis;Editorandauthorofmorethan30books,includingtheworkof

Ronald Fairbairn; and books on family, couple and individual therapy and

analysis. Recent books includeThe Interpersonal Unconscious (with Jill Savege

Scharff,Karnac,2011).Hehasco-editedbooksonpsychoanalysis inChina,and

onfamilyandcouplepsychoanalysis.WithRobertoLossoandLeadeS.Setton,he

co-edited The Linked Self in Psychoanalysis: The Pioneering Work of Enrique

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PichonRivière(Karnac,2017).

Lea S. de Setton, PhD, is a Member and Training Analyst, International

PsychoanalyticalAssociation;Faculty, theInternationalPsychotherapyInstitute

and Supervising Analyst at the International Institute for Psychoanalytic

Training, Washington, DC; former chair of IPI-Panama; faculty member,

Doctorate Program, Catholic University (USMA), Panama. Board member,

International Association for Family and Couple Psychoanalysis. Psychologist,

PsychoanalystandPsychotherapistinprivatepracticewithindividuals,couples

andfamiliesinPanama.

Juan Tubert-Oklander, MD, PhD, is a Training and Supervising

Psychoanalyst at theMexican Psychoanalytic Association, and a group analyst,

practicing in Mexico City. Full member of the Argentine Psychoanalytic

Association,theInternationalPsychoanalyticAssociation,andtheGroup-Analytic

Society International. He is author of numerous papers and book chapters

published in several languages. His recent book is The One and the Many:

RelationalPsychoanalysisandGroupAnalysis(Karnac,2012).

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Introduction

DavidE.Scharff,MD

This book introduces the work of Enrique Pichon Rivière to an English-

reading psychoanalytic audience, and then explores some of the many

implicationsanddevelopmentsofhisgroundbreakingwork.ThiseBookfollows

thepublicationofthefirstgroupofarticlesonandbyEnriquePichonRivièrein

theInternationalJournalofPsychoanalysis,andthefirstcollectionofhiswritings

inEnglishasaprintbook,TheLinkedSelfinPsychoanalysis:TheWorkofEnrique

PichonRivière.WhenRobertoLossointroducedmanyofusatTheInternational

Psychotherapy Institute to his work almost 10 years ago, his ideas seemed a

revelation. Our Institute is founded on principles of British object relations,

particularlytheworkofFairbairn,Klein,Winnicott,BionandBowlby,alongwith

other British and worldwide contributors who together have woven a rich

tapestrythatnowconstitutesacoherentobjectrelationstheory.Psychoanalytic

object relations theoryandpracticeelaborateon the revolution thathappened

when Fairbairn and Klein moved psychoanalysis beyond Freud’s drive theory

and pleasure principle-centered formulations because they realized that what

motivates development from the beginning of life is the need to be in

relationships. Ground-breaking writers of the middle of the 20th century

fashioned a quantum leap in our capacity to understand analytically, with

revolutions in thinking about the makeup of the psyche and the role of

unconscious interaction in development, in everyday life, and in the analytic

therapies.

The contributors to this book have each worked over many years to

increase intersubjective understanding of the organization of mind and

interaction.Myownworkandthatofmycolleagues,workingoftenwithfamilies,

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couplesandgroups, lookedatthewaypeopleweremutuallyinfluentialofeach

other’spsyches.Usingchaostheory,forinstance,wesawhowpeoplecouldpull

each other towards their own kinds of psychic organization, and bymaking a

bond,createahigherleveloforganizationuniquetoeachpairorgroup.

But it was a revelation for me to learn that Pichon Rivière had been

grappling with these issues since the 1940s, and had formulated related

revolutionary ideas towards which so many of us had been struggling in the

intervening60years.Pichon’sformulationof“thelink”,or“elvinculo”inSpanish,

asanorganizationdevelopedby twopeople ina relationship thatexists in the

space between them, towhich they both contribute, andwhich in turn acts to

organize thepsycheofeach individual inapair,a familyoragroup,put intoa

conciseandpowerfultermwhatwehadbeenstrugglingtowards.Wecouldnow

see that Henry Dicks’ formulation of the “shared marital personality”, or

Stolorow and Atwood’s “intersubjectivity”, or Ogden’s “analytic third”, or

Bowlby’sattachmentbond,wereallexamplesofsuchlinks.

Pichonsaw these linksashavingvertical andhorizontaldimensions.The

vertical link joins peoplewith previous and subsequent generations, giving an

explanation for intergenerational transmission of personality and of trauma.

Horizontallinksbindeachpersontotheirnuclearfamilies,extendedfamiliesand

thesocialworld.

Among Pichon’s other important formulations was the idea of a

fundamental illness, a deep-seated depression expressed through diverse

symptoms deriving from underlying deprivation, mistreatment or trauma and

fromfamily-widesecretsandmisunderstanding.Heheldthatpatientswereillin

thecontextoftheirfamiliesandgroups,thatasymptomaticfamilymemberwas

the spokesperson for a family illness and thus was, in a paradoxical way, the

strongestmember of the family. Hewas the actual originator both of analytic

family therapy years before its growth in the United States, and a founder of

grouppsychotherapy.Hebegandoing group therapy early in parallelwith the

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developmentofgroupanalysisinGreatBritain,butwithnocommunicationwith

FuchsorBion.HeunderstoodtheOedipalsituationtobebothbi-corporal(thatis

twobodies)and tri-personalpsychicallybecausea childhasparentswhoeach

haveapsychicrelationshipwiththeotherparent,ifnotinactuality,atleastinthe

mind.He saw that therapy goes on through disrupting a patient’s pre-existing

organizationthroughthedisruptionofwhatthepatientbringsbyinterpretation,

toproducewhathecalledanew“emergent”,whichisaresultoftheinteraction

ofthetherapistandthepatient,andthattherapyisa“spiralprocess”inwhichit

crossesthesameterritoryateverdeeperlevels.

Along the way Pichon Rivière organized therapeutic communities many

yearsbeforetheywerediscoveredinGreatBritain,andformulatedtheideathat

psychoanalysisisbasicallyasocialpsychology,onethatmustseethepersonas

embeddedinthesocialworld.

In this book, we are privileged to have four eminent contributors. From

Roberto Losso, we have a detailed version of Pichon Rivière’s revolutionary

ideas; from Juan Tubert-Oklander, we learn about Pichon’s invention of

“operativegroups”;andwereadabouttheapplicationofthesegroundbreaking

ideasoutsideofformalpsychoanalysisfromPichon’sson,JoaquinPichonRivière

who is himself a social psychologist and consultant. I contribute a paper that

comparesPichon’sideaswiththoseofBritishObjectRelationsthatmanyreaders

willfindmorefamiliar.Finally,LeaSetton,ourcolleagueintheeditingofthefirst

bookofPichon’s ideas inEnglish,offersdiscussionsof threeof thechaptersby

reconsideringseveralofthesefundamentalideas.

It’sbeenagreatprivilege forustobeentrustedwiththetaskofbringing

Pichon Rivière’s ideas to the English-speaking audience that he deserves. We

hopethiseBookwillbeanotherelementintheprocessofintroducinghisworkto

awideningaudienceofEnglishreaders.

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1

EnriquePichonRivière:AnOutlineofHisPrincipalIdeas1

RobertoLosso,MD

Iwas fortunatetoworkwithPichonRivière formanyyears. Imethimin

the1960sat theFirstPrivateSchoolofDynamicPsychiatry,whichhe ranand

whereIbegantoworkasacoordinatorofwhathecalled“operativegroups”,and

wherehewasmysupervisor.Thankstothisexperienceandfurthercontactwith

Pichon, I witnessed his openness to the ideas of others, and his insistence on

presentinghisownformulationsasprovisional. Iappreciatedhisbrilliance,his

versatility,andhiscuriosityabouteverythinghuman.Eachclasswasarevelation.

He continuously surprised us with something new, or with a different or

enrichingversionofsomethinghehadalreadysaid.Hewouldvividlyexplainto

ushisdialecticviewpointorhisideaof“spiralmovement,”anideathatplaysan

importantroleinhistheoryofthetherapeuticprocess.

Pichon was a unique, multifaceted figure. His interests ranged from

classicaltodynamicpsychiatry,psychoanalysis,grouppsychotherapy,familyand

couple therapy, social psychology, applied psychoanalysis, and more. He was

concernedwith the connection between art, literature andmadness.Hewrote

studiesonthelifeandworkofIsidoreDucasse,CountofLautréaumont,andon

AntoninArtaudandhiscontactswiththesurrealisticmovement.

Hewasoneofthefirsttousepsychoanalysistounderstandpsychosis,and

the development of the transference in psychotic patients as he applied a

psychoanalytic approach to treat psychoses. His ability to connect with these

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patientswasastonishing.Isawthathewasabletoachievesignificantchangein

severecases.

Inthe1950s,Pichonintroducedhistheoryofthelink,whichconstitutesone

ofhismostimportantcontributionstopsychoanalytictheoryandpractice.Inhis

classes, he insisted that there is no psyche outside the link. He emphasized the

importanceofseeingpatientswithinthefamilyandsocialcontexttowhichthey

belonged. An oft-stated piece of advice was that we invite into our office

everyonewhocomeswithapatient. If thepatientwasaccompaniedbyoneor

more family members, neighbors, or friends, they should all come in. And he

wouldadd,half-joking,“Includingthedog!”

Pichon pointed out that the analytic session was bi-corporal and tri-

personal, referring to the constant psychic presence of the third party (or

parties) in the space of the relationship even although only two personswere

physically present. Some analysts have confused Pichon's “link theory” with

otherviewsthatignoretheintrapsychicdimension,becausetheywere(andstill

are)afraidofshiftingthefieldofpsychoanalysisfromanintrapsychicfocustoa

relational or interactionalworld. Pichon held that any intrapsychic focusmust

alsoconsidertheconstantinfluenceoftheinteractionalworldonthemind.

The concept of link has been usedmore frequently in psychoanalysis in

recent years. Yet we should make clear that for Pichon, links are not simply

phenomenaoccurringbetweentwopre-existingsubjects;subjectsareconstituted

by links andwithin links. Linksdonotdeveloponlybetween subjects but also

insideeachpersonbyvirtueoftheinternalizationofexternallinks.

As linksare internalized, theyaremodifiedanddistortedbyneeds,which

are also theirmotivating foundation. Here Pichon alludes to human subjects'

initialhelplessness(Hilflösigkeit) and the inability of people to survive outside

theirlinkswithothers.Pichondefinesthebiopsychologicalneedsoflove,contact,

protection, warmth, nutrition, and so on. Individuals are born with these and

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other needs, which immediately motivate social interaction. Some of these

experienceswillbefrustrating,andothersgratifying.

Thus, subjects are born from links and live in links throughout their

existence. They are “chained” to links, both external interactional ones, and

internal psychic ones. Thereby emerges another essential Pichonian concept,

namely,theinternalgroup,whichisinconstantdialecticinteractionwithexternal

groups. The internal group is not static; it is made up of all links and of

everything that happens externally and internally. It plays an internal drama

(drama as action). Pichon uses a metaphor, the internal field, to illustrate his

notionoftheinternalgroupasdynamicandinconstantinteractionandmotion.

Pichondevelopedalsotheconceptofecologicalinternalization[associatedtothat

of hometown (querencia or pago)]. This notion alludes to subjects'

internalizationoftheenvironmentinwhichtheirlifedevelops,highlightingonce

again the significance of the social environment in the constitution and

preservationofidentity.

The idea of the group quality of the psyche, together with the internal

group/external group dialectic, carries important technical consequences.

Adoptionofthisassumptionleadstothenecessityofconsideringthegroupsto

whichapersonbelongsinunderstandingintrapsychicfunction.

Pichon advocated a link psychiatry that studies pathology not as one of

isolated individuals, but as located in links. We can only understand what

happens to an individual in terms of that person’s external and internal links,

that is to say, at both psychosocial and sociodynamic levels. This point is

particularly relevant today in view of contemporary psychiatry's tendency to

“biologize” mental suffering in claiming that certain chemical and genetic

changesconstitutethecauseprincipalcauseofmentaldisease.

Oneof Pichon’smost valuable ideas is his reformulationof the theory of

instincts (or drives). He revises Freud’s (1921) theory of the life and death

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instinctsbygiving ita linkdimension.Heproposesthat insteadof instinctswe

speak of two types of link models, a good link, originating in gratifying

experiences,andabad link, theproductof frustratingexperiences. Inthisway,

thedrive,acquiresalinkorigin,thatis,driveisbornfromwithinthelink.

Pichon’s theory of the unique illness, sometimes the object of simplistic

interpretations, has become particularly meaningful now that the tendency

towardthebiologizationofhumansufferingissostrong.BasedontheFreudian

theoryofcomplementaryseries,Pichonremindsusthatallsufferingbeginswith

asituationofdeprivationthat,inturn,triggersadepressionthatmayormaynot

have clinical manifestations. What we consider “mental illnesses” are actually

ways of reacting to this underlying depression through using various defense

mechanisms that appear in one or more of the three areas of behavioral

expression(mind,body,andexternalworld).

His concept of the pathology of the good object, or schizoid depression, is

innovative.Schizoiddepressionischaracterizedbyafeelingofbeingatthemercy

of another. Individuals unconsciously deposit good and idealized aspects of

themselvesintheirobjects,whichtheymustthencontrolandfearto lose.This

constitutes his theory of the 3 Ds: Depositor, deposited, depositary. The

depositorcarriesouttheactofdepositingmentalcontents(thedeposited)into

themindof another, the depositary. Thepredominant feelings of this schizoid

depressionaboutlossofordistancefromthegoodobjectarenostalgiaandbeing

atthemercyofthedepositary,whonowownsorcontrolsthegoodobject.

Icannotdescribeherethetheoryofthesingleillnessindetail,butIbelieve

thatitisessentialtheconceptofstructuralmobility.Pichondoesnotestablisha

categoricaldifferenceamongthevariouspsychopathologicalstructures.Theyare

“instrumentalandsituationalforeachhere-and-nowoftheinteractionprocess"

anddependonthelinksthatareinvolvedineachtimeandsituation.Astheseare

not fixed structures, there are no rigid boundaries between psychoneurosis,

psychosis, borderline states, psychosomatic disorders, and the variations in

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symptomaticpictures.

OneofPichon’sstatementsquotedbyZitoLemabrilliantlysummarizeshis

conceptionofthesubject:“Humanindividualsarebeingsofneeds,needsthatcan

onlybemetsocially inrelationshipsthatdeterminethem.Subjectsarenotonly

related subjects but also produced subjects, that is, they are the result of the

interactionofindividuals,groupsandclasses”.(Lemma,2017)Here,too,Pichon

introducestheimportanceofthesocialsphere.Hetaughtustoconsidernotonly

intrapsychicandinterpsychiclinkdimensions,butthesocialdimensionaswell.

AnotherPichonianideaisthatillnessemergesasa“solution,”anattemptto

solve the problemposedwhen subjects are facedwith a discrepancy between

their personal aspirations (I would even say the aspirations connected with

injunctions originating in certain internalized links) and their ability to fulfill

them.

Pichonwas one of the first to highlight the need, inmany cases, to treat

patientswith their families. Subjects, he stated, get sickwith insecurity, family

misunderstanding,andwithlove–withlongingforandlackoflove,becausethis

needisnotfullymet;andwithhate,sincethefamilygroupinwhichtheydevelop

does not allow them to achieve an identity of their own. There is also often

insufficient discrimination among its members, which therefore limits the

developmentofindividualidentity.

Pichon's theoryof the spokesperson is also relevant. The spokesperson is

thesubjectwhoexpressesthesuffering,discomfort,andinsecurityofthefamily

group.Illnessisthusanewqualitythatappearsinthefamilyfield.Heintroduced

the concept ofmisunderstanding, which he considered the basic illness of the

familygroup.Wearealwaysworkingonmisunderstandingsthatemergeinthe

group,thatis,ontheongoingconfrontationbetweentheinternalgroup(internal

linkmodels)ofeachfamilymember,distortedbycertainsituationsthatoccurred

at somepoint in thatperson'shistory,and theexternalgroup in thehere-and-

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now, the present-day family, the family of external reality rather than the

internalized one. Family secrets were often the vehicle for this kind of

misunderstanding, and, hewrote, that the “ill” or symptomatic familymember

wasparadoxicallythestrongestmemberofthefamilybecauseabletocontainthe

unexpressedanddisavowedstrugglesof theothers.Thusthesymptomsofone

family member conveyed family “secrets” and “spoke” for the illness and

dysfunctionofthegroup.Whenapersonfallsill,saidPichon,thereisatendency

to segregate that person as the depositary of the group’s anxieties. Family

memberstrytokeephimawaywiththefantasythathissegregationwillcause

theiranxietytodisappear.

Thenotionoffamilymysterydescribeswhatweoftenperceiveinfamilies,

namely,thatthereisamysteryunderlyingtheconflictstheypresenttous.Itisa

conspiracyofsilence.(Todaythewordfamilysecretismoreused).Theattemptto

confrontthis“mystery”isexperiencedasathreatofcatastrophe,andtherefore

thefamilyresistsitsclarification,throughaspecialwayoftreatingthepatient,a

wayof“takingcare”ofhimthatkeepsfactshiddenandlocksthepatientinthe

roleofthe“illperson.”Thisbehaviorconstitutesasubtle(ornotsosubtle)form

ofsegregation.

ForPichon,thecorrectivetaskwiththefamilyconsistsinredistributingthe

group's anxiety, analyzing misunderstandings, restoring communication

networks,reformulatinglinks(Iwouldsaybycontrastinginternalandexternal

links),andrestructuringtheinterplayofroles.

Pichon was fond of soccer, and used to tell us that a family should

metaphorically be like a soccer team,where eachplayer has a position on the

field (defense, attack, and so on), but those may change depending on the

vicissitudesofthegame.Alltheelementsofthesoccersituationarepartofthe

fieldincludingthefans,thereferee,andeventheball.Thesameoughttohappen

in families. Members must have the necessary plasticity to take over other

members' roles depending on the circumstances of family life, and for this

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reason, theconsiderationofapersonas fillingdifferentroles at different times

andindifferingcircumstancesshouldalwaysbeconsidered.

Pichon was also ahead of his time in introducing the transgenerational

dimensionthroughhismetaphorofthecrossandinpointingoutthepathogenic

role of the family mystery. Individuals live on a cross. The vertical arm

correspondstotheir linkswithpreviousgenerations(transgenerationalchain),

andthehorizontalonetothelinkswiththeircontemporaries,inthefirstplace,

withtheirfamilygroup.

I will end with a few words about Pichon´s Social Psychology: Pichon’s

principalbookhasasubtitle:From“PsychoanalysistoSocialPsychology”.What

did“SocialPsychology”meanforhim?Pichonwroteinhisarticle"LaPsicología

Social" (Social Psychology): “The contrast that most surprises analysts in the

practiceoftheirtaskisdiscoveringwitheverypatientthatwearenotfacingan

isolatedpersonbutanemissary,thatis,understandingthatanindividualassuch

isnotonlythemainactorofadramathatseeksclarificationthroughanalysis,but

alsothespokespersonofasituationplayedbythemembersofasocialgroup(for

instance, the individual’s family), towhomhehas always been committed and

whomhehasincorporatedintohisinternalworldsincetheverybeginningofhis

life”.ThatisforhimSocialPsychology.

DiscussionbyLeaS.deSetton

It isprivilege forus toheardirectly fromDr.RobertoLosso,who in turn

had privilege of working directly with Pichon Rivière for many years. He

appreciatesPichon’sbrilliance,hiscuriosity,andhisinterestsinabroadvariety

of areas such as dynamic psychiatry, psychoanalysis, group psychotherapy,

familyandcoupletheory,socialpsychologyandappliedpsychoanalysis.Pichon

wasalsooneofthefirsttousepsychoanalysistounderstandpsychosisandthe

developmentoftransferenceinpsychoticpatients.

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Pichon’sTheoryof theLink referstohowsubjectsareconstitutedby links

andwithin links. Linksdevelopbetween subjects and insideof them.Links are

internalized, modified and distorted by needs, which are their motivating

foundation.Hereemergestheconceptofaninternalgroup inconstantdialectic

interactionwith the external group. In a larger sense, the environment is also

internalized,anoriginalconceptthatPichoncalledecologicalinternalization.

For Dr. Losso one of Pichon’s most important concepts is structural

mobility. According to Pichon the different psychopathological structures are

“instrumentalandsituational”inthehereandnow,withnorigidboundaries,and

it is noteworthy that their formation and expression include the social

dimension.

Pichon was also original in developing his theory in regard to family

therapy. He describes how the illness appears in the family field. The

spokespersonisconsideredthestrongestmemberthatcarriesthesufferingsof

thegroup.Inmanyofhisstudentsandotherswhoseworkderivesfromhis,we

canhearstrongechoesofhisgroundbreaking“discovery”of thisapplicationof

psychoanalysislongbeforeitsdevelopmentinNorthAmericaandEurope.

Pichonreferredtothefamily’sbasicillnessasthemisunderstandingsthat

emerge in the confrontation of the internal and external groups, powered by

family secrets—often unconsciously known by all family members—and

influenced by the transgenerational dimension. For Pichon there is amystery

underlyingsuchconflicts,aconspiracyofsilence.

Thetherapeuticprocesswithfamiliesandgroupsfocusesonredistributing

thegroup’s anxiety,workon themisunderstandings, improved communication

and help to support individuals inhabit roles in more flexible and

interchangeableways.

I consider the concept of familymisunderstandings to be very important.

ForPichon thesecodinganddecodingprocess,associatedwith individualsand

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group frameworks, could generate situations of understanding or

misunderstandings that led to cascades of difficulty. Such work in family

psychoanalyticpsychotherapyrequiresspecialattentionandpatiencethatallows

therapiststofollowthedetailsofmisunderstandings,tonameanddescribethem,

andtherebytohelpre-distributetheanxietieswithinafamilygrouptowardsthe

developmentofhealthierrolefunctioningforeachmember.

FURTHERREADING

Theprinciple reading in English contains sevenof PichonRivière’swritings in

translationforthefirsttime:

Losso,R.,Setton.L.andScharff,D.,Eds.(2017):TheLinkedSelfinPsychoanalysis.ThePioneeringWorkofEnriquePichonRivière.London:Karnac

SeveralotherareasarecoveredinarticlesofDr.Losso’spreviouslypublishedin

English:

Losso,R.(2017):PichonRivièreandthetheoryofthelink.In:Scharff,D.&Palacios,E.(ed.)FamilyandCouplePsychoanalysis.Aglobalperspective.London,Karnac,pp.45-48

Losso,R.(2017):ThehistoryofFamilyandCouplePsychoanalysisinLatinAmerica.In:Scharff,D,&Vorchheimer,M(ed.):Clinicaldialogues inpsychoanalysis inLatinAmericaLondon,Karnac,pp.43-48

Losso,R.(2017):EnriquePichonRivière.Abrillianttrailblazer.InLosso,R.,Scharff,D.,Setton.L.(ed):TheLinkedSelf inPsycho-analysis.ThePioneeringWorkofEnriquePichonRivière. London,Karnac,pp.149-158

REFERENCES

Freud,S.(1921):GrouppsychologyandtheAnalysisoftheEgo.SE18.

Lemma,Z.V.(2017)ThelongriverofEnriquePichonRivière,inTheLinkedSelfinPsychoanalysis:ThePioneering Work of Enrique Pichon Rivière. Losso, R., Setton, L., Scharff, D. Eds. London:Karnac.pp.211-216

Note

1ThischapterandLeaSetton’sdiscussionwerefirstpresentedinthePanel“EnriquePichonRivière:Pioneerof the link inpsychoanalysis”;50thInternationalPsychoanalyticCongress,BuenosAires,July27,2017.

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2

TheContributionsofEnriquePichonRivière:ComparisonswithhisEuropeanContemporariesandwith

ModernTheory2

DavidE.Scharff,MD

EnriquePichonRivière,apioneerofpsychoanalysis,workedandwrotein

Argentina in themid-twentieth century, none of hisworkwas translated into

English until recently (Losso, et al., 2017). From the beginning, PichonRivière

understoodthesocialapplicationsofanalyticthinking,centeringhisideason“el

vinculo”,generallytranslatedas“thelink”,butthatcouldequallybetranslatedas

“bond”. The concept that each individual is born into human social links, is

shaped by them, and simultaneously contributes to them inextricably ties

persons’innerworldstothesocialworldoffamilyandsocietyinwhichtheylive.

Pichon Rivière believed therefore that family analysis, and group and

institutional applications of analysis were as important as individual

psychoanalysis.Manyoftheoriginalfamilyandcoupletherapistsfromwhomour

field learned trainedwith him. Because hisworkwas centered in the analytic

writings of Fairbairn and Klein, as well as those of the anthropologist George

Herbert Mead and the field theory of Kurt Lewin, his original ideas have

importantthingstoteachustoday.

Freud and those following him in the first half of the twentieth century

postulated that individualswere structured from inside their own constitution

throughlineardevelopment,inwhichillnessconstitutedfixationatearlypoints

ofdevelopmentorregressionbackdownthedevelopmental line.Inthismodel,

parentsandotherinfluentialadultscouldonlyshapeordisfigureapredestined

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formforeachchild.Thismodelchangedfundamentallythroughthecontributions

of Fairbairn (1952) and Klein (1975a; 1975b) whose work gave a picture of

individual personality taking shape in interaction with important parental

figures.Klein’s ideaofprojective identificationpicturedthechildrecruitingthe

parenttoholdoverwhelmingaggressionwhichthechildfoundintolerableinside

herself. Ina complementaryway,Fairbairndescribedhowchildren introjected

experience with their mothers (and others), and then split it into varying

categories to build psychic structure.He described this structure vividly as an

ego-object internal structure, made up of identifications with external people

dividedintointernalemotionalgroupingsdependingonwhethertheexperience

beinginternalisedwassatisfactory,rejecting,oroverlyexcitingofneed.

InArgentina,beginninginthe1940s,EnriquePichonRivière(1971,a,b,c,d;

1979; 2016) drew on his knowledge of Fairbairn and Klein, and on the non-

analytic sources of K. Lewin for field theory, and G. H. Mead for a socio-

anthropological point of view, tomake further pioneering contributionswhich

then inspired thenextgenerationofSouthAmericanpsychoanalysts.However,

sincePichonRivière’sworkwasnottranslatedintoEnglish,itsinfluenceonthe

mainstreamofpsychoanalysisremainedindirect,seepingintoanalyticdiscourse

throughauthorswhoreadSpanishorwhostudiedwithhim,includingWillyand

Madeline Baranger, Faimberg, and Kaës. This chapter begins by summarizing

somecentralideasofPichonRivièreonwhomsuchauthorsdrew,inorderthen

to outline some comparisons with parallel developments in current

psychoanalytictheory.

PichonRivière’scentralideawasthatalink(elvinculo)wasformedbyall

peopleinpsychologicalinteraction.Thelinkisasuperordinatestructureformed

throughspeechandinteractioninthespacebetweenpeople.It isformedbyall

partners in interaction,while, in turn, itorganisestheirpsyches.So individuals

are constitutedbothby their inherent constitution (as Freudhad said) andby

constant interaction with others. In this way "otherness" or "alterity" is a

constantorganisingfactorbecauseitchallengesthecontinuityofexistingpsychic

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organisation.Everyindividualisbornintolinks,breathinglinksintheairasfish

swiminwater,andatthesametime,eachpersoncontributestolinks,whichin

turn contribute to the continual re-organisation of that person. Links are

expressedinthethreeareasof"mind,bodyandinteraction"(includingspeech).

Theyexistinanintermediateareabetweentheinternalworldandtheexternal

world of interaction, organisedby bothpartners of a pair or allmembers of a

group. The link is a shared, mutual construction, which, through reciprocal

action,thenorganisesthemembersofthatgroup.Inthisway,externalrelations

and internal object relations are formed by the twin pillars of the individual

unconsciousandsocialinfluence.

Linksarebuilton individualneeds for love,nurture, safetyandknowing.

Insidethemind,linksarereproducedinthebondbetweengoodandbadobject

relationsandtheself, inresonancewithlinksintheexternalworld.Itseemsto

methatPichondrewthisformulationofthepsychedirectlyfromFairbairn,but

animportantandnewcontributionofPichonRivière’sformulationofelvinculo

was to specify how continuing external interaction continually reorganises

individuals, not only through unconscious communication–that is introjective

and projective identification–but through all external interaction including

consciousinteraction.

There are two axes of the link: The "vertical axis" joins the generations,

boththeinheritanceofpreviousgenerationsandhistory,andthetransmissionof

experiencetosubsequentgenerationsandthefuture.The"horizontalaxis"joins

individualsandfamilieswiththesocialgroupsaroundthem–extendedfamily,the

village,institutions,widersociety,andcurrentculture.

Thelinkisexpressedthroughindividualaction,speech,symptoms,bodily

experiences,anddreams,aswellasothervehicles throughbothconsciousand

unconscious expression and communication. The body is, for PichonRivière, a

primary location of links, not confined to illness as is often emphasised in

contemporarypsychosomaticschools.

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Wecanpicture links invariousways.Rather thanananalogy toa simple

chainoflinkedelements,amoreaptimagewouldbechain-linkfence,oraseries

ofintertwinedelementsindynamicmovement.PichonRivière’sprescientideas

fit best with the formulations of chaos or complexity theory developed in the

decades after his death (Gleick, 1987; Scharff & Scharff, 2011). In these

formulations, complex systems are characterised like non-linear equations in

mathematics,formingnon-repeatingpatternswhichmaygiveasenseofpattern-

recognition (like that of a person’s personality), but the iterations of complex

equations do not ever exactly repeat. Think of the similar, but non-repeating,

patternsofsnowflakes.Inthisformulation,whentwoormorecomplexsystems

come together, the pattern of the resulting higher order system cannot be

predictedfromthecharacteristicsofthelowerordersub-systems.Suchcomplex

systems have unpredictable "emergent properties". For instance,we could not

predict the patterns of personality from knowledge of the subsystems of the

brain. Systems that demonstrate pattern stuckness do become repetitive and

predictable,likeanelectrically-poweredpendulumswingingthroughthelimited

patter of a regular arc. Such stuckness characterises mental illness and

institutionaldysfunction.

PichonRivièrepictured therapyasa spiralprocess, circlingatdeepening

levels throughthesameterritory,butwithadifferentcutateachpassthrough

those territories. In this process the "existent" organisation is interrupted by

"interpretation", leading to anew "emergent"pattern.Transference exists as a

"here-and-now-with-me"becausethepersonofthetherapistisorganisedbyand

contributes to the therapeutic link. Pichon taught that the oedipal situation is

presentfromthebeginningbecauseathirdobjectwasalwaysrepresentedinthe

mindofthemotheroranalyst,sothatbi-corporalrelations–thatisoneswithonly

two persons present—are nevertheless tri-personal. He also adds a temporal

elementtothelinkinseeingthatlinksalwaysevolveovertime.

Fromthebeginning,PichonRivièresawtheindividualaslocatedinafamily

andsocial context.Heheld that the family is always central, and that applying

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therapytowholefamiliesisanaturalapplicationofpsychoanalysis.Hethought

that each individual is organised by an "internal group" in resonance with

externalgroupssuchasfamilyorworkinggroups.Afamilybecomesillthrough

"misunderstanding" and attempts tomaintain family secrets, and an identified

patientisoftena"spokesperson"whointerruptstheconspiracyofsilenceabout

whatcannotbesaid.The identifiedpatient is thusparadoxically the"strongest

memberofthefamily”,abletoholdtheanxietiesanddreadofthewholefamily

group through "symptoms",whichstem from thewholeofpersonalityand the

wholeofthefamily.Healsodevelopedtheideaof"operativegroups"thatextend

beyondpsychoanalytictreatmentforapplicationtoinstitutionsandsocialtasks

(PichonRivière,1960).Withcolleagueshefoundedaschoolforsocialpsychology

that remainsoneofhis chief legacies inLatinAmerica. (SeeTubert-Oklander’s

andJ.PichonRivière’schaptersinthisbook.)

ComparisonwithObjectRelations

ForanalystsmoreconversantwiththeworkofBiononlinks(1967,1970),

itisimportanttonotethatPichonRivière’suseoftheterm“link”issubstantially

different. Bion’s work refers to an intrapsychic linking of ideas, thoughts and

emotions, with an emphasis on the positively joining, or negatively attacking,

bondsoflove,hate,andknowledgeinthemind(symbolisedas+L,-L,+H,-H,+K,-

K).While Bion’s links form a part of PichonRivière’s vinculo, PichonRivière’s

basicunitinthepsycheisabondbetweengoodandbadobjectrelations(derived

from Fairbairn and Klein), but el vinculo is always also in resonance with

externalrelationsandthereforealtersovertime.

Manyof the formulations fromBritishandAmericanobject relationsand

intersubjectivists overlap with Pichon Rivière’s ideas. Henry Dicks’s "joint

marital personality" (1967), Bion’s "group basic assumptions" (1961),

Winnicott’s "transitional phenomena" and "transitional or potential space"

betweeninnerandouterworlds,acrosswhichmotherandbabyplay(1970),are

in the territory of Pichon Rivière’s link. So, too, is John Bowlby’s attachment

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theory(1969)thatdescribesspecificpsychologicalbondsofattachmentbetween

mother and baby. Subsequent research on the transmission of parents’

attachmentstyletotheirinfantsconstitutesperhapsthemosteffectivevalidation

ofthetransmissionoflinksbetweengenerations(Main,1995;Main&Solomon,

1990). More recently, Ogden’s "analytic third" (2003), the development of

concepts of intersubjectivity (Stolorow &Atwood, 1992; Beebe & Lachmann,

2002),andHopper’sworkonthesocialunconsciousasaninternalisationofthe

social link (2003) were developed well after Pichon Rivière. None of these

authorshadknowledgeofhiswork,butwiththebenefitofnowhavinghiswork

availableinEnglish,wecanseetheoverlapofthought.

Manyanalysts,psychotherapists,andfamilytherapiststrainedinArgentina

were significantly influenced by Pichon Rivière directly. Their writing has

introducedhisideasintotheEnglish-languageliteraturethroughthebackdoor.

RenéKaësinFrancevisitedArgentinatolearnabouttheworkofPichonRivière,

andlaterhadhisworktranslatedintoFrench.Kaës’sworkongroupselaborated

PichonRivière’s basic ideas particularly focusing on unconscious alliances and

resistances, and the expression of the link in speech, sexuality, symptoms and

dreams. Kaës vividly describes how group members form and express links.

WillyandMadelineBaranger,whowerestudentsofPichon,builtonhisideaof

the field.Pichon likenedtheanalytic field to the totalityof the field inasoccer

match.TheBarangerselaboratedonthisconceptinwhichlinksexisttodevelopa

bi-personal and multi-personal view of fields that analyst and patient create

together.HaydéeFaimberg(2005)elaboratedontheverticalaxisoflinksinher

book The Telescoping of Generations. And in Argentina, Puget and Berenstein

(1989)examinedtheimportanceoftheinherentlyalienatingeffectoftheotherin

both interferingwith and structuring links in each individual. Jill Scharff and I

have recently incorporated Pichon Rivière’s vinculo into our notion of the

interpersonal unconscious, exploring ways that the individual unconscious is

subjecttoandcontributestointerpersonallinks(Scharff&Scharff,2011).

Pichon Rivière’s el vinculo is one of the most powerful concepts that

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English-speakingpsychoanalystsandtherapistshaveneverheardof.Hiswriting

presagedmanymoderndevelopmentsandwasinmanywaysconceptuallymore

complete.Fortunately,acompendiumofhismostimportantwriting,alongwith

essaysbyseveralpsychoanalyticfigureswhichwereinfluencedby,orwhoknew

him,hasnowbeenpublished(Losso,Setton&Scharff,2017).Hisworkoffersa

starting point for many of the emergent ideas in psychoanalytic theory and

techniquetoday.Hedeservestobewidelyknownsothatwemayfinallytakefull

advantageofhislegacy.

REFERENCES

Baranger, M. & Baranger, W. (2009). The Work of Confluence: Listening and Interpreting in thePsychoanalyticField,ed.L.G.Fiorini.London:Karnac.

Beebe,B.&Lachmann,F.(2002).InfantResearchandAdultTreatment:Co-ConstructingInteractions.Hillsdale,NJ:AnalyticPress.

Bion.W.(1961).ExperiencesinGroupsandOtherPapers.London:Tavistock.

Bion,W.(1967).SecondThoughts.London:Heinemann.

Bion,W.(1970).AttentionandInterpretation.London:Heinemann.

Bowlby,J.(1969).AttachmentandLoss,Vol1:Attachment.London:Hogarth.

Dicks,H.V.(1967).MaritalTensions.London:RoutledgeandKeganPaul.

Faimberg,H.(2005).TheTelescopingofGenerations.LondonandNewYork,Routledge.

Fairbairn,W.R.D. (1952).Psychoanalytic Studies of thePersonality. London: Routledge and KeganPaul.

Gleick,J.(1987).Chaos.NewYork:Viking.

Hopper,E.(2003).TheSocialUnconscious.London:JessicaKingsley.

Kaës, R. (2007). Linking, Alliances, and Shared Space. London: The International PsychoanalyticAssociation.

Klein,M.(1975a).Love,GuiltandReparationandOtherWorks1921-1945.London:HogarthPress.

Klein,M.(1975b).EnvyandGratitudeandotherWorks1946-1963.London:HogarthPress.

Losso,R.,Setton,L.andScharff,D.(2017)TheLinkedSelf inPsychoanalysis:ThePioneeringWorkof

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EnriquePichonRivière.London:Karnac.

Main,M.(1995).Attachment:Overviewwithimplicationsforclinicalwork.In:S.Goldberg,R.Muir,&J.Kerr,(Eds.),AttachmentTheory:Social,DevelopmentalandClinicalPerspectives.(pp.407-475).HillsdaleNJ:AnalyticPress.

Main,M.&Solomon,J.(1990).Proceduresforidentifyinginfantsasdisorganized/disorientedduringthe Ainsworth Strange Situation. In: M. Greenberg, D. Chichetti, & M. Cummings, (Eds.)AttachmentinPreschoolYears.(pp.95-124).Chicago:UniversityofChicagoPress.

Ogden,T.(2003).SubjectsofAnalysis.Northvale,NJ:JasonAronson.

Pichon Rivière, E. (1960). Técnica de los Grupos Operativos (Operative Group Technique). In: DelPsicoanálisisa laPsicologíaSocial (Volume II),BuenosAires:EdicionesGalerna,1971, (pp.269-275).(IncollaborationwithJoséBleger,DavidLibermanyEdgardoRolla).OriginallyinActaNeuropsiquiátricaArgentina,1960:6.

Pichon Rivière, E. (1971a). New Problems Facing Psychiatry: Una Nueva Problemática para lapsiquiatría.In:Delpsicoanálisisalapsicologíasocial(VolumeI).1971,pp.433-455.BuenosAires:EdicionesGalerna,

PichonRivière, E. (1971b). SomeObservations on theTransference in Psychotic Patients (Algunasobservaciones sobre la transferencia en los pacientes psicóticos). In: Del Psicoanálisis a laPsicologíaSocial(VolumeII).1971,pp.267-298.BuenosAires:EdicionesGalerna,

Pichon Rivière, E. (1971c). Family Groups: An Operative Approach (Grupos familiars: Un enfoqueOperativo).In:DelPsicoanálisisalaPsicologíaSocial(VolumeII).1971,pp.202-213.BuenosAires:EdicionesGalerna.

PichonRivière,E.(1971d).TheTreatmentofFamilyGroups:CollectivePsychotherapy(Tratamientode Grupos Familiares: Psicoterapia Colectiva). In: Del Psicoanálisis a la Psicología Social(VolumeII).1971,pp.189-199,BuenosAires:EdicionesGalerna.

PichonRivière,E.(1979).TeoríadelVínculo(TheoryoftheLink).BuenosAires:NuevaVisión.

PichonRivière,E.(2016,inpress).EnriquePichonRivière:PioneeroftheLink.R.Losso,L.Setton,&D.E.Scharff.(Eds).LondonandNewYork:Karnac.

Puget, J. & Berenstein, I. (1989). Psicoanalisis de la pareja matrimonial (Psychoanalysis of theMatrimonialCouple).BuenosAires:Paidos.

Scharff,D.E.&Scharff,J.S.(2011).TheInterpersonalUnconscious.Lanham,MD:JasonAronson.

Stolorow,R.&Atwood,G.(1992).ContextsofBeing:TheIntersubjectiveFoundationsofPsychologicalLife.Hillsdale,NJ:AnalyticPress.

Winnicott,D.W.(1951).Transitionalobjectsandtransitionalphenomena.In:ThroughPaediatricstoPsycho-Analysis,pp.229-242.London:Hogarth.1975.

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Note

2ThischapteroriginallyappearedinFamilyandCouplePsychoanalysis (2016)6:2pp.153-158,andappearsherecourtesyoftheeditorandpublisher.

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3

OfLinksandBondsThecomplexthoughtandpracticeofEnriquePichon

Rivière3

JuanTubert-Oklander

EnriquePichonRivièrewasamajorpioneerofpsychoanalysisandgroup

analysis inArgentina andLatinAmerica. Indeedhewas the initiator of group-

analytic practice and thinking in the area, although he never actually used the

name, since he referred to his approach to groups as “operative groups”. The

term“groupanalysis”wasoriginallyusedbyTrigantBurrowintheUS,andlater

by S. H. Foulkes in Britain. It has since become the name of the particular

approachtotheunderstandingandworkwithgroups,boththerapeuticandnon-

therapeutic derived from Foulkes’s work and developed by his students and

membersoftheGroup-AnalyticSocietyhefoundedinGreatBritain.ButPichon

Rivière’soperativegroup theoryandpractice are so similar toFoulkes’s that I

believe it is fair to say that group analysis is a discipline that emerged

independentlyandsimultaneouslyinBritainandBuenosAires(Tubert-Oklander

&Hernández-Tubert,2004).

Weshouldkeepinmindthatgroupanalysisisquitedifferentfromwhatis

known as “analytic group psychotherapy”. The latter is an application of

psychoanalytic theoriesandtechniques,derivedfromthepracticeof individual

psychoanalysis, to the conduct of treatment of individual patients in groups.

Group analysis, on the other hand constructs its own concepts, theories, and

techniquesfromthegroup-analyticexperience,justaspsychoanalysisdoesfrom

the bipersonal psychoanalytic experience. Hence, it is the conduct of human

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groups, whether they have a therapeutic or a non-therapeutic goal, by a

conductorwhostrivestokeepananalyticattitudevis-à-viswhateverhappensin

thegroup,includinghimorherselfasapartofthegroup,andwhointervenesin

such ways that may foster a better use of the resources of the group and its

members in their common effort to attain whatever goal they may have

identified.

Asgroupanalysisisbasedontheassumptionthattherelationalandsocial

natureofhumanbeingsisprimary,itmustnecessarilyalsoincludeandmakeuse

ofallknowledgeandtheoriesofthesocialandhumansciencesthatappeartobe

germanetounderstandingthegroup-analyticexperience.

Groupanalysisisnotrestrictedtoitsuseasamethodofpsychotherapy.It

can and is regularly applied to other kinds of group goals, such as learning,

experience,reflectiononacommonpractice,familylife,institutionalfunctionor

social life in general. This is what Pichon Rivière (1971; Losso et al, 2017)

developed extensively in his conception and practice of operative groups. A

therapeuticgroupwas,forhim,justanoperativegroupwhosecommontaskisto

achievethehealingofitsmembers.

Pichon Rivière made no difference in his approach to human affairs

between intra-personal, inter-personal, and trans-personal mental processes.

Hence he wrote, “One cannot think in terms of a distinction between the

individualandsociety.Itisanabstraction,areductionismthatwecannotaccept”

(Pichon Rivière, 1979, p. 61,my translation). It was absolutely natural for his

thinking and practice to flow effortlessly from individual conflicts to

interpersonalrelationsandtosocial,cultural,andpoliticalprocesses,bothinthe

presentandpast, includingpersonaland familyhistory,and in thehistoryofa

social group, a community, a nation, or a race.Whenworkingwith groups, he

usuallyinterpretedintwodifferentdirections:averticalinterpretation,interms

of a specific member’s history, dynamics, and experience, and a horizontal

interpretation, which conceived of the individual member’s utterances,

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expressions,andbehaviorasconstitutingmanifestationsof thewholegroup in

thecontextofitspresentsituation.Hiswasthereforeaholisticconception,which

included the field concept,which he took fromKurt Lewin, adramatic model,

derived fromAristotle´sPoetics, and his own concept of the group’s dynamics

andevolutionasaspiraldialecticprocess.

Allthisledhimtoformulateanoveltheoreticaldevelopment,whichiswhat

he calledTeoría del vínculo (Pichon Rivière, 1979).Vínculo is a Spanish word

which means “link”, “tie”, “bond”, or “relation”. It variously refers to physical,

logical, interpersonal, emotional, psychosocial, and legal connections. Pichon

Rivière´sconcepthasbeentranslatedalternativelyas“link”or“bond”.Nowadays

thepreferredEnglishtranslationseemstobe“link”,although“bond”isprobably

nearerinitsconnotationstoPichonRivière’sSpanish-languageconcept.

So, what is this link (bond)? The author used the concept to refer to a

dynamicstructurethatincluded:1)asubject,2)hisorherobject(whichisreally

another subject), 3) the tieorrelation between them, and 4) thewhole group,

social, political, cultural, historical, physical, and ecological context in which it

takesplace.AsIhavesaidbefore,thisisaholisticfieldandprocesstheorywhose

indebtednesstoKurtLewinandHarryStackSullivanisquiteobvious.

Suchanapproach calls for a revampingofpsychoanalytic theory, since it

discards Freud’s original psychoanalytic unilateral emphasis on “internal”

processes,whicharesetinmotionbyorganictensionsinsearchofadischarge–a

position still often invoked as a group of tenets that cannot be challenged. In

PichonRivière’sthought,theconceptof“instinctualdrives”istobereplacedby

thatofthelinkorbond.Thelinkincludes,butisnotrestrictedtowhatweknow

as“objectrelations”.Hence,hewrites,“Inpsychoanalytictheory,weareusedto

utilizing thenotionofobject relations,but thenotionof the link ismuchmore

concrete.Theobjectrelationistheinnerstructureofthelink”(1979,p.35,my

translation).Therearetwopsychologicalfieldsinthelink:thereisaninnerfield

and an outer field—and here “field” does not only have physical or dynamic

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connotations,butisalso,metaphorically,likethoseofafootballfield:aspacefor

groupstoplay.So,thereareinternalandexternalobjects,andaninternalandan

externalgroup,aswellasaninternalandanexternalaspectofthelink.

The relation between what we usually conceive of as “internal” and as

“external” isconstant,mobile,anddialectic.There is fluid interchangebetween

thetwofields,whichhelpstoestablishthedifferentiationbetweentheinsideand

theoutside,whileatthesametimemaintainingdeepcontinuitybetweenthem.

Hence, individual and society forman indissolubleunit, a singledynamic field,

because we all carry society within us and social processes include the

contributionofthepersonalexperiencesofallmembersofcollectiveentities.

Consequently, in psychoanalysis and group analysis we are not only

studying the inner dynamics of individual personalities, but always and

inextricablyalsothoseofaninteractionalandtranspersonalfield.Thisisthetrue

specificobjectofpsychologicalresearch.Fromthispointofview,psychoanalytic

inquiryisunavoidablygroup-analytic,evenifthereareonlytwopeoplepresent.

Obviouslysuchperspectivedoesnotonlyapplytoouranalyticworkwith

groups and to our understanding of wider social systems, but also has

consequencesforthepsychoanalyticinquiryofindividuallives.Thiswasshown

by Pichon Rivière in a brief article, written in 1965, on the life and work of

EnriqueSantosDiscépolo,theArgentinewriterofthelyricsofArgentina’smost

famous tangos (Pichon Rivière, 1965). This text has not been translated into

English,but even if itwere, itwouldbealmost incomprehensible for a foreign

reader. Indeed, even younger generation Argentinians, who are no longer

familiarwiththemanyreferencestothesocio-politicalhistoryoftheircountryin

thefirsthalfofthe20thCentury,wouldfindithardtofollowhisanalysis.

Afewyearsago,IusedthecaseofDiscépolotoillustratePichonRivière’s

particularstyleofinterpretation,whichblendedseamlesslypersonalandfamily

historywith the social andpolitical history of a community and country, for a

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chapter for an English language book on the social unconscious (Tubert-

Oklander, 2011). I found it necessary to reviewalmost 100 years ofArgentine

historytoensurethatPichonRivière’sanalysiscouldmakesensetoreadersfrom

othercountries. Ihad tomakeexplicit themanyreferences theauthorhad left

implicit, because he assumed—quite erroneously, I believe—that the readers

wouldbefamiliarwiththem.

ThewordsofthetangoswrittenbyDiscépolo,sopainfulanddisenchanted,

canbewellexplainedbyconnecting themtohisownupbringingasanorphan

fromanearlyage.Hewasfivewhenhisfatherdied;lessthanninewhenhelost

hismother,sohegrewunderthesupervisionofhiselderbrotherArmando,who

washimself tobecomea famousplaywright and stagedirector.All this turned

him intoamelancholicandwithdrawncharacter.ButPichonRivière´sanalysis

wentfurtheranddeeper.ThepeopleknownastheDiscepoloshadbeenpartofa

migratorywave fromItalyandSpain, fosteredby theArgentinegovernment in

order for respectable Europeans to replace the native mestizo population the

government despised. These humble peasants and artisans came to South

Americawiththefantasyofbecomingrichandthenreturningtotheircountries

as respectable gentlemen—a dream that was known as “doing America”. This

almost never happened. Themigrants and their children remained frustrated,

dreaming of their lost home, a situation that brought about the melancholic,

nostalgic traits of the Argentine character. All this, Pichon wrote, was clearly

expressedinthedisenchantmentandbitternessofthetango,whichwasthento

becomeArgentina’snationalmusic.

Argentina’snationalfrustrationanddisenchantmentwentevendeeperasa

result of a long history of government run by elites that exploited and

impoverished the bulk of the population. One of themost popular presidents,

Hipólito Yrigoyen, strove to democratize the country and respond to popular

needs.However,heturnedouttobeaweakleaderandwaseventuallydeposed

byamilitarycoup,openingthewayforanewseriesofrepressivegovernments.

Allthishappenedinthecontextofthegreateconomiccrisisofthethirties.

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SomeofDiscepolo’ssongswerestraightforwardcriticismsofthevenaland

corruptsociety inwhichhe lived.Others toldofdisappointed loves thatended

tragicallyinbetrayalandabandonment.Allofthemexpressedthedeepfeelings

of theArgentinepeople.This,wrotePichon,was thesecretof thesongwriter’s

success,andhewasfullyawareofitwhenhewrote,

Asongisapieceofmylife,asuitthatislookingforabodythatfitsitwell.Themorebodies there are for that suit, the greaterwill be the success of the song, since ifeverybodysings it, it isasignal thatallof themare living it, feeling it, that itsuitsthemwell.[Discépolo,quotedbyDiez,2010,mytranslation]

This is a clear example of Pichon Rivière’s interpretative thought, which

blends individual and family history with social, cultural, political, and other

contextual facts and narratives, to yield a deep, dynamic and nuanced

understanding of individuals, relationships, groups, families, institutions, and

societyatlarge.

Asyoucansee,PichonRivière’sTheoryoftheLinkorBondisanessential

precursor, not only of present-day group analysis, but also of many novel

developments in contemporary psychoanalysis, such as intersubjectivity,

relationality,andwiderpsycho-socialapproaches.

Now that a selection of his writings has been translated, presented, and

commented upon in the book edited and introduced by Roberto Losso, Lea

Setton,andDavidScharff,TheLinkedSelfinPsychoanalysis:ThePioneeringWork

of Enrique Pichon Rivière (2017), it is to be expected that new interest in his

contributionswillemerge in theEnglish-speakingpsychoanalyticworld,ashas

alreadyhappenedinFrance,wheresomeofhiswritinghasbeentranslatedand

publishedthroughtheeffortandsupervisionofRenéKaës(1994).

REFERENCES

Kaës,R.(1994).PrefacetoPsychanalyseetpsychologiesociale:HommageàEnriquePichonRivière[Psychoanalysis and Social Psychology: A Tribute to Enrique Pichon Rivière] Revue depsychothérapiepsychanalytiquedegroupe,23,Paris.

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Losso, R.; Setton, Lea S. de & Scharff, D. E. (eds.) (2017). The Linked Self in Psychoanalysis: ThePioneeringWorkofEnriquePichonRivière.London:Karnac.

PichonRivière,E.(1965).Discépolo:uncronistadesutiempo[Discépolo:Achroniclerofhistime].InPichonRivière(1971),pp.161-168.

Pichon Rivière, E. (1971).El proceso grupal. Del psicoanálisis a la psicología social (I) [The groupprocess:Frompsychoanalysistosocialpsychology(I)].BuenosAires:NuevaVisión.

PichonRivière,E.(1979).Teoríadelvínculo[Theoryofthebond].BuenosAires:NuevaVisión.

Tubert-Oklander, J. (2011). Enrique Pichon Rivière: The social unconscious in the Latin-Americantradition of group analysis. InHopper, E. &Weinberg, H. (eds.),TheSocialUnconscious inPersons,GroupsandSocieties—VolumeI:MainlyTheory(pp.45–67).London:Karnac.

Tubert-Oklander,J.&HernándezdeTubert,R(2004).OperativeGroups:TheLatin-AmericanApproachtoGroupAnalysis.London:JessicaKingsley.

Note

3ThischapterandLeaSetton’sdiscussionwerefirstpresentedinthePanel“EnriquePichonRivière:Pioneerof the link inpsychoanalysis”;50thInternationalPsychoanalyticCongress,BuenosAires,July27,2017.

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4

EnriquePichonRivière:HisContributionstoInstitutionalIntervention4

JoaquinPichonRivière

OurconsultingfirmandourcolleaguesinArgentinacarryoutpsychosocial

interventions in different kind of organizations such as private, governmental,

non-governmentalbusinessesandagencies,tradeunions,andthoseinstitutions

createdincommunitiesforurgentsituationsthatarisefromemergenciessuchas

floods,familyviolence,addiction,andunemployment.

Thewidescopeof these interventionsencompassthoseaddressedbythe

ArgentineanInstituteofSocialStudies(IADES),whichwasfoundedbymyfather,

Enrique Pichon Rivière, in 1955. This application of Pichon’s work will be

relatively unfamiliar to clinical psychoanalysts, but was close to his heart.

Currently, our consultancy considers the theoretical framework of Pichon

Rivière’slinktheoryasacentralstrategicandtacticalresourceforresearchand

intervention in our field work. This includes the CROS structure (Conceptual,

Referential and Operational Schema; or ECRO in Spanish) and the role of

operative groups. The CROS structure is awell-articulated framework thatwe

continuetouseasourfoundation.

Prior to intervention in a field, we consider relevant criteria and the

selection of various techniques which may be relevant, such as: in-depth

interviews, operative groups, multitasking meetings and plenary sessions, the

searchforemerginginsightsstimulatedbytheinformationwegather,thematic

triggersandverbatimgrouptranscriptsthatallowustoconductanalysisofthe

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grouporinstitutionatvaryinglevels.

Weconsidertheselevelstoinclude:

1.Psychosocialanalysisofindividualsandtheirenvironment.

2.Dynamicsocialanalysisofthegroupanditsenvironment.

3.Institutionalanalysisinbothitsformalanddynamicstructures.

4.Theanalysisoftheinstitutionandtheindividual.

In considering theseareas,weaim to clarifywhat the individual signifies

foraspecificinstitution,includingthesymbolicdimensionsthattheyexperience,

suchas“thecompany”,“thejob”,“theteam”,“thefamily”and“themoney”.The

researchand the institutionalanalysis,prior toany intervention,enablesus to

determinepossiblereasonsfor“ruptures”inthe“system”,suchasdialecticpairs

(individual–institution, individual–group, inside–outside) and to propose a

courseofactiontoaddresstheresistancetochange.

Suchanalysisproducesagreatquantityofknowledgeandcontent,whichis

then incorporated into ongoing operative groups as away of promoting task-

learning. Delay, ambiguity, communicational defects and contradictory

commands, among other things, are points at which resistance emerges from

withininstitutionstohinderagroup´swork.

Basingour thinkingon the link theory,we take intoconsideration that in

any triangular situation, every link is bi-corporal and tri-personal. Thismeans

thatthereisalwaysaninternalizedthirdpersoninanydyad,athirdwhooften

disrupts communication, and thereby functions as what is know as “noise” in

communicationtheory.Guidedbythetheoryofthelink,wetacklethedynamics

betweensocialstructureandconfigurationsoftheindividualinternalworld.

Theinternalgroupisbasedoninternalizedbonds,startingwiththefamily

group and continuing with the subsequent groups to which the individual is

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related.Thisinternalgroupdeterminesanindividual’sadaptationtoeverynew

experience.

We take our guidance from two aspects of Pichon’s CROS: one supra-

structural,andtheother,infra-structural.Thesupra-structuralaspectisshaped

by conceptual elements of themodel. The infra-structural aspect is definedby

motivationalandemotionalelementsthatarebasedontheindividual´severyday

experience. It is amodel throughwhich the constructionwemakewill enrich

understandingoffactsweencounter,and,byanalogy,helpsusunderstandother

similar facts. In the group, elaboration of a common frame of reference takes

priority. This is a basic requirement for establishing communication that will

follow the messages decoded by we work to decode through affinity or

coincidence with the referential schemes of the person who speaks and the

persons who receive the messages. Every member contributes a personal

referentialschemetothegroup.Then,onthebasisofcommondenominatorsof

thesesystems,acomplexpatterngraduallycomestolightinCROSgroups.

Thiscomplexprocessaimstohelpindividualsachieveanactiveadaptation

to reality, especially enabling them to assume new roles with greater

responsibility as they surrender the limitations of their earlier and generally

more stereotyped roles that would be inadequate for the emergence of roles

moreappropriateforthe“hereandnow”ofgroupevolution.Basicfeelingsand

anxietiesaboutbelonging,cooperationandappropriatenessofbehaviorarisein

every human group. Thematuration and resolution of such concerns interacts

supportenhancedachievementofincreasedproductivity.

Duringgroupprocessofanykind,twoprimalfearstendtoemerge:fearof

thelossandfearofbeingattacked(PichonRivière2017c).Thefirstisthefearof

losingwhattheyalreadyhavewhileinthesituationoflearning—afearoflosing

the knowledge they had before this new learning. The second is fear of the

unknown as dangerous because it is unknown. Pichon taught that fear of loss

characterizes depressive anxiety, while fear of being attacked and damaged

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belongstoparanoidanxiety.

Thesearecommonsituationswefaceduringinstitutionalinterventions,for

example,while consultingwithin a company going through changes related to

new industrial procedures affecting its workers; or during the merger of two

companieswith different cultures; or in a non-governmental organization that

faceschangesinlegalorpoliticalcontext.

Theinterventionswiththeoperativegrouphelptoachieve:

1.Anactiveadaptationtoreality.

2.Thepossibilityforgroupmemberstoassumenewroles.

3.Theabilityformemberstocarrygreaterresponsibility.

4.Lesseningofstereotypedrolesthatimpedeadaptationtothe“hereandnow”ofthetask.

At the level of the group, the operative group examines and seeks to improve

impedimentstomembers’securityandabilitytocooperateandfunctiontogether

in ways appropriate to the generation of the kind of relative harmony and

cooperationnecessarytogreaterproductivity.

Inordertounderstandwhatstrategiesbestsupportthespecifictasks,we

need analysis of the tasks the group is attempting to carry out. Consultants to

such situations need a systematized way of analyzing intervention strategies.

EnriquePichonRivièredevelopedtoolsofanalysisthatbelong,asagroup,tohis

“invertedcone” scheme (2017c) . In the lowerpartof the conewecan see the

basicfearsofeachmemberofagroup:fearofattackandfearofloss.“Illness”(or

groupdysfunction) is at thebaseof the cone. “Theprojectof thegroupandof

groupmembers,symbolizingthe“health”ofthegroup,appearsatthetop.

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Letusconsidersixcategoriesofanalysisthatweshouldconsider:

1. Membership: Membership and belonging indicate a higher or lowerdegreeof identificationwith the task.Membership ismeasuredbythe degree of responsibility with which a member or the groupassumesitstask.

2.Cooperation:Herewelookathowthegroupestablishesthepossibilityofjoining efforts through development of differentiated andcomplementary roles. Cooperation is measured in the degree ofefficacywhileworkingatthetask.

3. Appropriateness: This is the capacity for focusing on a task. It ismeasuredbyassessingthegroup´sdegreeofproductivity.

4.Communication:Hereweexaminedifferentmethodsofconnectingandofgroup short-circuits that generatemisunderstanding in coding anddecodingofmessages.

5.Learning:Learningdevelopsfromthecontributioneachmembermakesanddevelops fromnew informationandevolving feelings.Distressduringlearningdeterminesresistancetochangeandtodealingwithbasicfears.

6.Telé*:Telé,theattractionorrejectionthateachmemberofagroupfeelsatfirstsight, isareunitinginexternalrelationships,withobjectsofmembers’ internal worlds.When such personal links are positive,they improve group collaboration; when they are negative, theydisrupt.

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Operative groups take advantage of both vertical and horizontal links in

ordertopromoteanintegration,a“unityofoperation”.Inthisprocess,justasin

the process that Pichon described for psychotherapeutic action, the current

operatingmodeofagroupformsthe“Existent”orevenpre-existingwayofdoing

things.Then“Interpretation”servestodisruptthatpattern,inordertointroduce

disturbingelementsthatpavethewayforsomethingnew,the“Emergent”.The

“existent” is constituted by everything that is present in the field, embracing

explicitandimplicitelements.“Interpretation”turnstheimplicitintosomething

explicitleadingthewayforthe“Emergent”,thenewsituationwhichappearsto

take theplaceof thepreviousone. In thisway, the“emergent” isstructuredas

“theencounterofthe“existent”andthedisruptive“interpretation”.

Itseemsimportantformetosaythattheseoperativegroupsininstitutions

are not based on a therapeutic contract, even if good implementation may

producetherapeuticeffectsatindividualandgrouplevels.Howeverthatmaybe,

thedefiningelementisthefidelitytothetaskthataimstohelpthegroupwithits

operationalorlearningtask,notwithpersonaltherapy.Therefore,anoperative

group’swork teamdevelops strategieswith theobjectiveofhelping the group

make qualitative leaps towards implementing newprojects or improving their

capacitytocarryoutexistingprojects.Ishouldalsonotethatweregularlywork

with interdisciplinary teams that are likely to include not psychoanalysts, but

anthropologists, ethnographers, sociologists, psychologists, social workers and

socialpsychologists.

DiscussionByLeaS.deSetton

I find itmost interesting tohearabout theways inwhich JoaquinPichon

Rivièrehascontinuedtheworkofhisfatherthroughaconsultingenterprisethat

conductsinterventionsinsomanytypesoforganizations.Inhischapter,weget

toreadabouthisuseofatheoreticalframebasedonPichon’stheoryoflink,the

CROSstructure,andtheoperativegroupasimportantdevicesinhisworkinthe

field.

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Hiswork is done in widely differing levels: psycho-social, socio-dynamic

andinstitutional.Hisanalysishelpstoclarifywhattheinstitutionrepresentsto

the persons who work in it, including areas less familiar to the clinical

psychoanalyst or psychotherapist, such as daily work, team work, family and

money.

His investigations may be analogous to the way an analytic therapist

consultstoandworkswithpatients,becausehelooksforcausesofthe“fractures

“intheirsystem.Andhesuggeststhatthebestwaytointerveneandworkwith

the resistance to change is through interpretations that disrupt the “existent”,

thatwhichrepresentsthepatternsofdoingbusinessthatwarrantimprovement.

JoaquinPichonRivièreandhiscolleaguesapproachthedynamicsbetween

the social structure and internal world of group members through the

elaborationofacommonconceptual,referentialandoperationalschema(CROS)

inordertoestablishbettercommunicationandenhancedfunction.Hisgoalisto

help themembers adapt to reality, accept new roleswithmore responsibility,

and to decrease the use of stereotyped andmaladaptive roles. In the process,

learningdevelopsfromthecontributionsofeachmemberofsuchgroups,which

canbeblockedbyresistancetochange.

Although these ways of working are analogous to the ways that

psychoanalytictherapistsworkwithanindividualorfamilywhoseehelp,there

areimportantexpansionsoffocusandmethodwhichcannotbeignored.

IwouldliketoemphasizethatoneoftheimportantconceptsJoaquinand

his teamworkwith is the inverted cone. This part of the theory of operative

groups describes a path that begins with the explicit, but then leads to those

thingswhicharetheimplicitdimensionofgroupsandtheirdynamicfunctioning.

Theexplicitemergesduringthemeetingsbetweenthegroupandtheconsulting

team.Theimplicitunderlyingorganizationonlyemergesthroughthepenetrating

analysis that the team conducts in the course of groupwork. It is through the

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consultants’ focus on issues of cooperation, belonging, and pertinence to the

grouptask,thattheyareabletoenhancegroupcommunicationandlearning,and

overallfunction.Thisfocusongroupeffectivenessisquitedifferentfromthatofa

clinical psychoanalytic task, and can result in constructive development of

organizations.

REFERENCES

MostoftheideasofPichonRivièrecitedhere,andthatarenowavailablein

English,canbefoundinTheLinkedSelfinPsychoanalysis:ThePioneeringWorkof

EnriquePichonRivière,2017,editedbyRobertoLosso,LeadeSettonandDavid

Scharff,London,Karnac.

Themajor sourceofPichon’s ideas,muchofwhichwaswrittendownby

Pichon’sstudentsratherthanbyPichonhimself,isincludedin:

PichonRivière,E.(1971).Delpsicoanálisisalapsicologíasocial(VolsI&II).[FromPsychoanalysis toSocialPsychology,VolumesI&II].BuenosAires:EdicionesGalerna.

Thesevolumesincludewritingonthetheoryofthelink;theCROS(ECROin

Spanish);operativegroupsandthetreatmentoffamilygroups.

Theconceptofthegroupspokespersonisdescribedin:

Pichon Rivière, E. (1978). El concepto de portavoz. (The concept of the spokesman. In TemasdePsicologíaSocial,2:11–20.

Note

4ThischapterandLeaSetton’sdiscussionwerefirstpresentedinthePanel“EnriquePichonRivière:Pioneerof the link inpsychoanalysis”;50thInternationalPsychoanalyticCongress,BuenosAires,July27,2017.

* “The tele factorwasdefinedby J.L.Morenoas auniversal andbasicphenomenon thatmanifestsitself in humanbonds as an energy of attraction, rejection or indifference towards others,givingevidencenotonlyoftheubiquitousnatureofinterpersonalcommunication,butalsoofthe faculty that people possess to communicate emotion at a distance, inducing them toestablishpositive,negativeorindifferentrelationships.

ForMoreno,teleis"thesmallestunitofaffectiontransmittedfromoneindividualto

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another in both directions". In this sense it can be seen as a complete communicationquantum,withemissionandreturnreceptionofmessages.

Teleimpliesfeelingsofattraction,rejectionorindifferencebasedoneverythingthateachofuscanfeeland/orperceiveofthecharacteristicsandrealqualitiesoftheother.Andviceversa,ofcourse:Itincludeseverythingthatanothercanfeelorperceiveaboutus.

Sowesaythatwehavepositivetelewiththepeoplewepreferorwithwhomwearesympathetic,andthatwehavenegativetelewithpeoplewhocauseusdiscomfortortofeelrejection.Oftenthesefeelingsarereciprocated.”

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Epilogue

There is a great deal more to be said concerning the seminal work of

Enrique Pichon Rivière. In summarizing his work and his words, things are

inevitably left out or givenmeanings that others of his disciples and followers

wouldinterpretdifferently.Wewelcomethosedifferencesbecausetheyarethe

stuffthroughwhichcreativityfollowssuchaseminalworkofgenius.Forinstance

theworkofRenéKaëshas fleshedout thepsychoanalyticmeaningofmanyof

Pichon’s ideas, including the role of “spokesperson” in groups and families.

JoaquinPichonRivière’schapterhasbeguntosketchouthowPichon’soriginal

ideas about operative groups have opened up a whole field of work in social

psychology, and therefore extended the reach of psychoanalytic thinking

enormously.

PichonRivière’sideasalsobringagreatdealtogroupanalysis,afieldthat

has been fully joined by Juan Tubert-Oklander in this book, and is highly

developedinitsownliterature.However,becausesofewpractitionersofgroup

analysishavebeenfamiliarwithPichon’s ideas, it isnowimportanttoseehow

hisideascaninformthatfield.

Inside psychoanalysis itself, Pichonmade clear from the beginning of his

writing that he felt psychoanalysis should be applied equally to families and

groups, just asmuchas to individualpatients.Andhe thought that evenwhen

workingwithindividualpatients,theanalystshouldhavethepatient’sfamilyin

mind. Itwashisoriginal ideaof the“field” inwhichpsychoanalyticencounters

takeplacethatledtothegroundbreakingworkofWillyandMadelineBarranger,

whowerehisstudents.Ihavefeltthatitishardtounderstandtheworkonthe

analyticfieldwithoutincludingPichon’soriginalandoriginatingideas,including

his contention that themostusefulmetaphor for the fieldwas the soccer field

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andthegameofsoccer(orfootballforthoseoutsideofNorthAmericaforwhom

thisistheworldwidegame.)

Ibelieve that it is always important togoback, from time to time, to the

originalsourcesofanyfieldofhumanendeavor.Thusinphilosophywereturnto

Plato and Aristotle, and drama we return periodically to the Greeks. In

psychoanalysiswereturntoFreud.Thisisnottosaythatwewanttobecaptured

by the limitations of the originators of our fields, but to say that embedded in

their original ideas there is the potential for new thinking that is often are

overlookedbythefocusofsubsequentcontributors.ThusFreud’soriginalideas

ontheroleof traumainthedevelopmentofmindwas ignoredformanyyears,

only to reemergeasprescient concerning the trauma thathas alwaysplayeda

roleinthedevelopmentofmanyofourpatients.Itiswiththisuntappedpotential

in mind that my colleagues and I have worked to bring Pichon’s ideas to the

attention of the psychoanalytic community and to students of psychoanalysis

worldwide.We hope that this volumewill serve to inspire you to learnmore

abouttheseminalworkofEnriquePichonRivière.

DavidE.Scharff,MDWashington,DCOctober,2017

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