Analyst and patient occasionally arrive at moments of heightened meaning and aliveness. These moments can be transformative and lead to psychic change in the patient. They give life and arouse hope, and feel “real” in a new way, though often entailing emotional turbulence. Specific internal work must be done by the analyst to allow for and foster these experiences. This involves a kind of mourning process in the analyst that allows for “presence” and “availability” as described by Gabriel Marcel, and for the “at-one-ment” described by Bion. These transforming moments can be viewed in an aesthetic realm, along the lines of Keats’s “Beauty is truth, truth beauty.” This embodies the analytic value of emotional truth. These moments are shared and their emergence is an intersubjective creation. Clinical illustrations show how the internal work of mourning by the analyst through directed introspection allows for presence and availability, and then for shared moments of beauty with the patient.
