The author describes a sub-group of anorexic patients who present themselves clinically as "invisible" and "insubstantial". The concept of "invisibility" is understood in terms of primitive object relations. The underpinning of this dynamic is a lack of separation and differentiation from mother and a consequent effort to live inside her skin. The…

This article aims to demonstrate that it is not only the mind that needs to have the capacity to hold and transform, but also the body. Fordham's concept of the "primary self" emphasises the unity between the body and emotional states in infancy. The self is expressed through actions that bring the infant into contact with the mother and the…

The power of new traumatic events to reignite memories and the distress of traumatic experiences earlier in life is well known to psychotherapists. When the recent trauma has been extreme, the task of assisting the patient to understand their response in the light of their earlier experience can be doubly challenging. This paper describes the…