Metáforas, imágenes y simbolización en el modelo 3-LM
una tercera mirada
DOI:
https://doi.org/10.36496/n142.a3Keywords:
research, psychic change, analytic process, clinical caseAbstract
This paper revisits the article «Changes and no changes in the representation of self and others through images and metaphors» with the aim of exploring the scope and limitations of the three-level model (3-LM) for the clinical observation of psychic change. Based on a clinical case analyzed in a group setting by psychoanalysts from different countries, the paper explores the value of images and metaphors emerging in dreams as indicators of transformation in the analytic process. The study examines how certain dream images function as figurative organizers of subjective experience, allowing for the tracking of changes in the representation of the self, symbolization, and relationships with others. At the same time, it problematizes the clinical and epistemological status of metaphor, questioning its scope and limits in capturing psychic and relational transformations. Aspects in which changes occurred (symbolization, accessibility to one’s own internal states, loosening of avoidant defenses, conflict resolution) were identified, while it was observed that these changes were partial and nonhomogeneous, with more primary defensive nuclei persisting and coexisting alongside the progress achieved. Finally, it highlights the value of the 3-LM group setting as a space for thirdness and clinical pluralism, capable of broadening the understanding of the analytic process and contributing to a more nuanced description of the different levels of change.
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References
Altmann de Litvan, M. (2015). Panel report, IPA Congress Boston 2015: Metaphors and the use of analyst as tools to improve our clinical practice panel and small discussion group organized by: IPA Project Committee on Clinical Observation. International Journal of Psychoanalysis, 96(6), 1651-1654.
Altmann de Litvan, M. (2018). Trabajando desde la clínica: Metáfora e interpretación. Aportes de working parties de la Asociación Psicoanalítica Internacional a la investigación clínica en psicoanálisis. Revista Uruguaya de Psicoanálisis, 126, 164-180. https://publicaciones.apuruguay.org/index.php/rup/article/view/147
Altmann de Litvan, M. (2021a). Changes and no changes in the representation of self and others through images and metaphors. In M. A. Fitzpatrick-Hanly, M. Altmann de Litvan & R. Bernardi (Eds.), Change through time in psychoanalysis: Transformations and interventions, The Three-Level Model (pp. 79-101). Routledge/Taylor & Francis Group.
Altmann de Litvan, M. (2021b). Clinical research in working parties through metaphors. In M. Altmann de Litvan (Ed.), Clinical research
in psychoanalysis. Theoretical basis and experiences through working parties (pp. 324-334). Routledge.
Altmann de Litvan, M. (Ed.). (2014). Time for change: Tracking transformations in psychoanalysis - The Three-Level Model. Karnac Books. Altmann de Litvan, M., Fitzpatrick-Hanly, M. A., & White, R. (2021). Underlying clinical thinking on change and therapeutic action. In M. A. Fitzpatrick-Hanly, M. Altmann de Litvan & R. Bernardi (Eds.), Change through time in psychoanalysis: Transformations and interventions, The Three-Level Model (pp. 35-59). Routledge.
Anzieu, D. (1994). El yo-piel. Biblioteca Nueva. (Trabajo original publicado en 1985).
Aulagnier, P. (1977). La violencia de la interpretación. Del pictograma al enunciado. Amorrortu.
Bernardi, R. (2014). The Three-Level Model (3-LM) for Observing Patient Transformations. In M. Altmann de Litvan (Ed.), Time for change: Tracking transformations in psychoanalysis - The Three-Level Model (pp. 3-34). Karnac Books.
Bernardi, R. (2021). Moving from clinical inquiry to clinical research. In M. Altmann de Litvan (Ed.), Clinical research in psychoanalysis. Theoretical basis and experiences through working parties (pp. 65-83). Routledge.
Bernardi, R., & de León de Bernardi, B. (2026). Pluralism in vivo: Clinical reasoning in discussion groups inspired by the Three-Level Model (3-LM). Psychoanalytic Inquiry, 1-17. https://doi.org/10.1080/07351690.2026.2647694
Bernardi, R., Pérez, L., & Hanly, C. (2021). Assessing strengths and limitations of clinical evidence in psychoanalytic clinical material. In M. A. Fitzpatrick-Hanly, M. Altmann de Litvan & R. Bernardi (Eds.), Change through time in psychoanalysis: Transformations and interventions, The Three-Level Model (pp. 281-305). Routledge.
Bion, W. R. (1974). Atención e interpretación. Paidós. de León de Bernardi, B. (2013). Field theory as a metaphor and metaphors in the analytic field and process. Psychoanalytic Inquiry, 33(3), 247-266. https://doi.org/10.1080/07351690.2013.779890
de León de Bernardi, B. (2022). Metaphors for the patient’s self as a multiple bridge for clinical research. In M. Altmann de Litvan (Ed.), Clinical research in psychoanalysis. Theoretical basis and experiences through working parties (pp. 134-148). Routledge.
Freud, S. (1976). La interpretación de los sueños. En J. L. Etcheverry (Trad.), Obras completas (Vol. 5, pp. 345-612). Amorrortu. (Trabajo original publicado en 1900).
Freud, S. (1976). Lo inconsciente. En J. L. Etcheverry (Trad.), Obras completas (Vol. 14, pp. 153-207). Amorrortu. (Trabajo original publicado en 1915).
Freud, S. (1976). Proyecto de psicología. En J. L. Etcheverry (Trad.), Obras completas (Vol. 1, pp. 323-390). Amorrortu. (Trabajo original publicado en 1950).
Green, A. (2005). Ideas directrices para un psicoanálisis contemporáneo. Amorrortu.
Hanly, C. (1995). The problem of truth in psychoanalysis. Guilford Press.
Laplanche, J., & Pontalis, J. B. (1996). Diccionario de psicoanálisis. Paidós.
McDougall, J. (1991). Teatros del cuerpo. Julián Yébenes.
Modell, A. H. (2005). Emotional memory, metaphor, and meaning. Psychoanalytic Inquiry, 25(4), 555-568. https://doi.org/10.2513/s07351690pi2504_9
Modell, A. H. (2009). Metaphor—The bridge between feelings and knowledge. Psychoanalytic Inquiry, 29(1), 6–11. https://doi.org/10.1080/07351690802246890
Rizzuto, A. M. (2001). Metaphors of a bodily mind. Journal of the American Psychoanalytic Association, 49(2), 535-568. https://doi.org/10.1177/00030651010490021601
Rizzuto, A. M. (2009). Metaphoric process and metaphor: The dialectics of shared analytic experience. Psychoanalytic Inquiry, 29, 18-29. https://doi.org/10.1080/07351690802246973
Rizzuto, A. M. (2021). Clinical research: The role of metaphors in the analytic process. In M. Altmann de Litvan (Ed.), Clinical research in psychoanalysis. Theoretical basis and experiences through working parties (pp. 119-133). Routledge.
Sandler, J., & Sandler, A. M. (1994). Comments on the conceptualisation of clinical facts in psychoanalysis. International Journal of
Psychoanalysis, 75, 995-1010. https://pubmed.ncbi.nlm.nih.gov/7713675/
Winnicott, D. W. (1965). The maturational processes and the facilitating environment. Hogarth Press.
Winnicott, D. W. (1971). Playing and reality. Tavistock.
Winnicott, D. W. (1993). Los procesos de maduración y el ambiente facilitador. Paidós.
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