LOOKING AND LISTENING LOOKING AND LISTENING Work from the São Paulo Mother-Baby Relationship Study Centre with a supervision seminar by Esther Bick edited by Marisa Pelella Mélega, Mariângela Mendes de Almeida and Mariza Leite da Costa published for The Harris Meltzer Trust by KARNAC Published in 2012 for The Harris Meltzer Trust by Karnac Books Ltd, 118 Finchley Road, London NW3 5HT Copyright © 2012 The Harris Meltzer Trust Some chapters published in Portuguese in 2008 by Casa do PsicÓlogo, São Paulo, as O Olhar e a Escuta para Compreender a Primeira Infância, edited by Marisa Pelella Melega and Maria Cecília Sonzogno Translated by Henrik Carbonnier English editing by Nalini Jain and Meg Harris Williams The rights of Marisa Pelella Mélega, Mariângela Mendes de Almeida and Mariza Leite da Costato be identified as authors of this work have been asserted in accordance with §§ 77 and 78 of the Copyright Design and Patent Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. British Library Cataloguing in Publication Data A C.I.P. for this book is available from the British Library ISBN 9781780491042 Cover illustration: Edited, designed and produced by The Bourne Studios www.bournestudios.co.uk Printed in Great Britain www.harris-meltzer-trust.org.uk www.karnacbooks.com CONTENTS Acknowledgement vii About the authors ix Foreword by Daisy Maia Bracco xiii Introduction: Esther Bick’s infant observation method Daisy Maia Bracco 1 1 Esther Bick in South America: supervision of the observation of a baby girl from birth to eight months Esther Bick 9 2 Aspects of supervision: an observation seminar about a ten-month-old triplet Marisa Pelella Mélega 47 3 The flame of psychic life: reviewing a two-year observation twenty years later Mariza Leite da Costa 65 4 Early feeding difficulties: risk and resilience in early mismatches within the parent-child relationship Mariângela Mendes de Almeida 89 v vi CONTENTS 5 Psychoanalytic observation: the Esther Bick method as a clinical tool Magaly Miranda Marconato Callia 103 6 The psychoanalytic observer as model for a maternal containing function Marisa Pelella Mélega 111 7 The psychoanalytic observer at the nursery Ana Rosa Campana de Almeida Pernambuco and Maria da Graça Palmigiani 135 8 The psychoanalytic observer in paediatric assessment Marisa Pelella Mélega and Maria da Graça Palmigiani 147 9 Joint parent and child therapeutic interventions Marisa Pelella Mélega 161 10 A family assessment based on the Esther Bick method Ana Rosa Campana de Almeida Pernambuco 175 11 The observer in the neonatal intensive care unit Mariza S. Inglez de Souza 183 12 Infant observation and its developments: working with autistic children Mariângela Mendes de Almeida 201 13 A research methodology for the study o∑ wf symbolic activity i n infants Marisa Pelella Mélega and Maria Cecília Sonzogno 221 References and Bibliography 229 Index 233 ACKNOWLEDGEMENT We are grateful to Ingo Bernd Güntert of Casapsi Livraria e Editora of São Paulo, Brazil, for permis- sion to publish English versions of the follow- ing chapters from O Olhar e a Escuta para Compreender a Primeira Infância (2008), edited by Marisa Pelella Mélega and Maria Cecilia Sonzogno: “A especificidade do metodo de observação de bebês” (“Esther Bick’s observation method”) by Daisy Maia Bracco; “Intervenção clinica e investigação tera- pêutica com os pais e bebês: vulnerabilidade e resiliência em dificuldades alimentares infantis” (“Early feeding difficulties: risk and resilience in early mismatches within the parent- child relationship”) by Mariângela Mendes de Almeida; “O observador psicanalítico como modelo continente da função materna” (“The psychoanalytic observer as model for a mater- nal containing function”) by Marisa Pelella Mélega; “O obser- vador psicanalítico vai a instituição: uma experiência” (“The psychoanalytic observer at the nursery”) by Ana Rosa Campana de Almeida Pernambuco and Maria da Graça Palmigiani; “O observador psicanalítico no atendimento pediátrico” (“The vii v i i i ACKNOWLEDGEMENT psychoanalytic observer in paediatric assessment”) by Marisa Pelella Mélega and Maria da Graça Palmigiani; “Fundamentos e metodologia da intervenção terapêutica conjunta pais-filhos” (“Joint parent and child therapeutic interventions”) by Marisa Pelella Mélega; “A contribuição da pratica de observação de bebes para o desenvolvimento de recursos de continência no trabalho com uma criança autista cega” (“Infant observation and its developments: working with autistic children”) by Mariângela Mendes de Almeida; “Reverie materno e o desen- volvimento da capacidade simbólica” (“A research methodol- ogy for the study of symbolic activity in infants”) by Marisa Pelella Mélega and Maria Cecília Sonzogno. ABOUT THE AUTHORS Daisy Maia Bracco is a psychoanalyst and member of the IPA, London, and an Associate Member of the Brazilian Psychoanalytic Society of São Paulo. She graduated in Clinical Psychology from the Methodist Institute of Further Education, Rudge Ramos, Brazil, in 1975, before specializing in treating adolescents at the Sedes Sapientiae Institute, in São Paulo, in 1977. She also trained as a social worker, taking the Social Worker course at the Pontificate Catholic University, São Paulo, in 1958. She is currently a member of the Board and Professor at the Mother- Baby Relationship Study Centre, São Paulo. Email: [email protected] Magaly Marconato Callia graduated in Psychology and holds a Master’s degree in Social Psychology from the London School of Economics and Political Science, awarded in 1982. She was an associate student at the Tavistock Clinic, in 1981, and at the Child and Family Department of the Child Psychotherapy Course, in 1986, and is an affiliate member of the Brazilian Psychoanalytic Society of São Paulo and IPA. She is also a faculty member of the Sedes Sapientiae Institute Child Psychoanalysis ix