Psychoanalysis with Adults Inspired by Parent-Infant Psychotherapy: The Analyst’s Metaphoric Function

This paper investigates a phenomenon observed in parent-infant psychotherapy (PIP). Metaphors emerge in the analyst and, once voiced, they can become tools for understanding the present predicament of mother and/or child. The article contains vignettes from work with a mother and her son, four weeks old when PIP started. They are followed by a vignette of an adult analysand. In both settings, the analyst found himself in an impasse, until he came up with a metaphor expressed to the mother and the analysand, respectively. The paper investigates why PIP experiences might inspire an analyst to suggest metaphors to adult patients as well and thence to understand their suffering better. Aspects of linguistic theory underlining the infantile roots of metaphors are submitted as well as other analysts’ views of using metaphors at work. It describes how the validity of a metaphor - whether it expresses something essential about the patient’s internal world - should be assessed by following up his/her response to it. It defends the position that metaphor, if used with parsimony and sobriety, is a valuable tool in enabling the patient to map their internal world.