Delaram Jameian, Allameh Tabataba'i University, Iran

Delaram Jameian

Allameh Tabataba'i University, Iran

Presentation Title:

Towards an Explanatory Framework for Somatic Manifestations with childhood trauma, attachment and Mentalization mediated by interpersonal emotion regulation at the Intersection of Winnicottian and Bionian Thought

Abstract

This research aims to explore the psychoanalytic mechanisms underlying the phenomenology of somatization within the context of childhood trauma, attachment and Mentalization mediated by interpersonal emotion regulation. The explanatory framework of this study is established upon five fundamental pillars:

1. Childhood Trauma: The Breach in the Continuity of Being In this framework, childhood trauma is conceptualized not as an event, but as an "Encroachment" which, according to Winnicott (1949), ruptures the infant's "Continuity of Being" (Going on being). By inducing what Bion (1962) terms "Nameless Dread," this trauma shatters the ego's protective shields, leaving the subject with a conglomerate of "unthinkable" experiences. In the absence of a facilitating environment, these experiences pave the way for a profound psyche-soma dissociation. Emphasis on the concept of Encroachment versus Holding is very important because trauma is considered as the destruction of the Protective Shield, leading to the psyche's defensive retreat into "mental functioning" and the subsequent rejection of the body.

2. Attachment: The Bedrock of the Psychic Container Attachment is here equated with the quality of Bionian "Maternal Reverie" and the Winnicottian function of "Holding." Insecure attachment signifies the existence of a "toxic or impermeable container," which obstructs the process of "Personalization." In this state, the object fails to facilitate the indwelling of the psyche within the body, leaving the subject with an alienated soma and devoid of a soothing internal object.

3. Mentalization: The Function of Transformation and Symbolization In this model, mentalization is regarded as the equivalent of Bion’s "Alpha Function"; the process responsible for transforming raw sensory data ("Beta-elements") resulting from trauma into mental representations and thoughts. From a Winnicottian perspective, this capacity is rooted in the "Mirror-role of the mother." A deficit in mentalization denotes a failure in translating physical pain into psychic meaning, leading to the sedimentation of unprocessed experiences within the bodily tissues. For explanation about the transformation of Sense Data into Alpha Elements; we can say mentalization is the bridge between Psyche and Soma, the absence of which plunges the subject into "No-thought" and somatization.

4. Interpersonal Emotion Regulation: The Dynamics of Container-Contained This variable is elucidated through the mechanism of Bion’s "Projective Identification" and Winnicott’s "Object Usage." Interpersonal regulation is the subject's attempt to locate an "External Container" to digest anxieties. A failure in this regulation—due to the non-survival of the object or its opacity—results in a recoil of toxic impulses back toward the subject’s own body. Scientific Depth: Focusing on the Survival of the Object is important because if the object cannot survive the subject's aggressive projections, the subject is forced into an internal accumulation of destructiveness, which manifests as somatic symptoms.

5. Somatic Manifestations: The Cry of Undigested Beta-Elements Ultimately, somatization is defined as the "Failure of Indwelling" and the evacuation of non-symbolized Beta-elements into the soma. Here, the body, rather than being a place for living, becomes the only available "container" for a burden that has found no representation in the mind (mentalization) nor in the relationship (interpersonal regulation). In the other word Conceptualizing somatic manifestations can be considered as the "Theater of the Body" in the absence of speech; a state where Beta-elements, lacking an Alpha Function, directly invade the biological realm.

Biography

Delaram Jameian completed her Master's degree at Allameh Tabataba'i University in Iran at the age of 24, having entered the program as a distinguished student and a highly talented individual (Este'dad-e Derakhshan). She is currently a candidate for psychoanalysis at the Tehran Center for Psychoanalytic Studies (TCPS) and works as a psychoanalytic therapist, actively involved in research and academic writing. She has authored four clinical and health psychology articles with a total of 13 citations.Her editorial experience includes serving as the Editor-in-Chief of the Clinical Psychology Journal at the Faculty of Psychology, Allameh Tabataba'i University, and she currently serves as the Editor-in-Chief for the special issue on migration in the Psychoanalysis in Digari journal. She has twice received second place in the Festival and Competitions of University Publications, in both 2015 and 2017. Her most recent article, focusing on women's migration, was selected and presented at the Fourth Iranian Congress of Psychoanalysis in 2023. Her research interests include clinical,psychoanalysis and health concepts, somatic issues, trauma, migration, women's issues, and the experience of separation.