top of page
Search


Listening to Psychic Architecture: A Reflective Practice
Listening to psychic architecture means attuning to deep emotional structures beneath symptoms—containment, presence, warmth, care.

marcuslewton
May 45 min read
1 view
0 comments


“Do They Really Need to Understand It?”
Can we treat OCD without understanding it? A fictional debate between two clinicians explores timing, structure, and symbolic readiness.

marcuslewton
Apr 215 min read
4 views
0 comments


The House, the Bunker, and the Panic Room
What if OCD isn’t one condition, but four psychic positions? A new way to understand rituals, retreat, and recovery in young people.

marcuslewton
Apr 183 min read
62 views
0 comments


Uninterpretable States: How to Stay With What Refuses to Mean
Not every silence needs decoding. Some states refuse meaning. This lecture teaches how to stay when the symbol won’t come.

marcuslewton
Apr 114 min read
4 views
0 comments


Not Yet: When Interpretation Becomes Intrusion in Adolescent Therapy
Not every interpretation lands. Some come too soon. Learn how to recognise when a symbol isn’t ready—and why that matters in OCD work.

marcuslewton
Apr 102 min read
6 views
0 comments


Stop Focusing on the Compulsion
Stop cataloguing rituals. Start listening for what breaks if they don’t happen. Treat the structure, not just the symptom.

marcuslewton
Apr 82 min read
66 views
0 comments


Understanding Symbolic Breakdown in Adolescent Obsessionality
When a young person stops symbolising, rituals remain—but meaning drains out. Symbolic collapse is quiet, but devastating. (Lecture 2).

marcuslewton
Apr 85 min read
3 views
0 comments


The Institutional Defence Against Meaning: Why Clinics Abandon Symbolic Work
To abandon symbolic work is to leave the child un-met, and the therapist untouched. We must reclaim meaning, or risk becoming procedural.

marcuslewton
Apr 83 min read
9 views
0 comments


Beyond the Skills: A Symbolic Clinician’s Guide to Working Psychodynamically in a Manualised World
A guide for clinicians who want to practise symbolically—even within ACT, DBT, and CFT-dominated services. Hold the thread.

marcuslewton
Apr 73 min read
12 views
0 comments


Don’t Tell Me What They’re Doing — Tell Me What It’s For
OCD rituals aren’t just behaviours — they’re attempts at meaning. Stop listing actions. Start listening for what the act is doing.

marcuslewton
Apr 62 min read
1 view
0 comments


Symbol Formation, Destruction, and the Ritualised Mind: Listening to Hanna Segal in the Age of OCD
When a ritual replaces a symbol, the mind isn’t irrational — it’s grieving. Segal helps us listen to what the act is holding.”

marcuslewton
Apr 55 min read
4 views
0 comments


Why Your CBT Workbook or Self-Help Book Isn’t Working: The Symbolic Resistance Behind Refusal
CBT can fail when symbolic resistance blocks meaning. Discover why refusal isn’t laziness—but a defence against unbearable psychic contact.

marcuslewton
Apr 33 min read
28 views
0 comments


Broken Links, Repeated Acts: Attacks on Linking and the Architecture of OCD
Some OCD rituals aren’t about fear — they’re about broken psychic links. This post explores obsessionality through Bion’s theory of linking

marcuslewton
Apr 33 min read
4 views
0 comments


When the Drive Repeats: OCD as Repetition Compulsion, Not Just Anxiety
Not all OCD is driven by fear. This post explores how some rituals repeat unconscious guilt, desire, or helplessness — not just avoid anxiet

marcuslewton
Apr 23 min read
2 views
0 comments


When Kindness Feels Contaminated: Envy, Projective Identification, and the Adolescent Who Can’t Let the Good In
Envy and intrusive thoughts- not what it seems.

marcuslewton
Apr 24 min read
3 views
0 comments


More Than a Symptom: Understanding Obsessive Structure, Intrusive Thoughts, and OCD
Understanding obsessive structure means seeing beyond symptoms—into how a young person thinks, defends, and survives through loops and contr

marcuslewton
Apr 24 min read
9 views
0 comments


The Shape of the Thought: Listening for Structure in Unwanted Intrusive Presentations
Learn to hear beyond content. This seminar explores how intrusive thoughts reveal psychic structure, using Bion and Meltzer as our guide.

marcuslewton
Mar 3052 min read
69 views
0 comments
bottom of page