The author begins his argument by confronting child murder in the real: in clinical work, in the media, in historical accounts of rituals. Studying ritual child murder within the Inca culture, together with stories of child murder throughout history, allows the author to draw some initial parallels between ritualistic child murder and its treatment in the clinic. A Winnicottian reading of the genesis of the subject, with narcissism as a central focus, provides a framework for understanding this kind of aggression in the clinic. Taking into consideration the effects of being able to psychically represent, we learn that fantasmatic, real and ritual murder of a child is embedded in the structure brought about by the entrance into language.
In this article the author explores what is involved when working with dream material in a clinical setting. She starts with the difficulties Freud encountered in the Interpretation of Dreams when attempting to discuss this complicated material in a concise way. This leads the author to the matter of the interpretation itself. Using several of Freud’s articles she explores different approaches to the concept of interpretation and confronts the reader with some of Freud’s ideas on working with dreams. The theoretical part of the article concludes with a brief discussion of the Lacanian vision of interpretation according to Fink. This is followed by a substantial clinical section illustrating this theoretical material, using the case of a woman whose mourning process over the sudden death of her husband is problematic. Her dreams form an important part of the analysis in this case. The author concludes by elucidating in detail one session with the patient in which not only the ambiguity of meaning in dream material, but also the choice of a specific interpretation and its effect, is demonstrated.