R. Plassmann, BODY PSYCHOLOGY AND INTERPRETATIVE METHOD S - WORK WITH 2ND-ORDER INTERPRETATIONS (PROCESS INTERPRETATIONS), Forum der Psychoanalyse, 12(1), 1996, pp. 19-30
In our attempts to approach the central conflicts of patients with psy
chosomatic disorders, we often observe states that can be described as
''zones of cognitive destruction.'' In these zones the mental process
es undergo qualitative changes culminating in a ''psychic crash.'' The
re is a loss of language, symbolization and psychic distance, accompan
ied by a parallel loss of a sense of time, ego awareness and of the fe
eling of vitality. These states show us that the patient's original ex
perience, which has not yet been worked through, contains not only ele
ments of conflict, but is also associated, in the pathological zone, w
ith destruction of the ability to symbolize, i.e. of basic thought pro
cesses. This paper describes how these states can be made the subject
of therapy, which then aims to assist the patient in restoring his or
her damaged thought processes. This is accomplished by using a languag
e of interpretation involving interpretations of the second order, i.e
. process interpretations. To provide a theoretical framework for this
process, we have introduced the terms semiotic progression and semiot
ic regression.