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What is it like to be an infant?

Matthew Goldreich

British Journal of Psychotherapy August 1, 2026 DOI: 10.1111/bjp.70027 (opens in new tab)

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Characteristics Theoretical or philosophical paper Peer reviewed
Key points Argues that while Bionian, mentalization, and affective neuroscience accounts converge on describing infant experience as differentiating into comfort and discomfort co-regulated with caregivers, this does not grant phenomenological access to infant subjectivity. Proposes Bion's reverie and O as tools for negative capability in facing the epistemological gap, with implications for infant observation and clinical practice.

Abstract

Abstract In the philosophy of mind literature, consciousness is commonly defined not in terms of its physical correlates but rather its subjective character – the ‘something that it is like to be' an organism. In this conceptual article, this formulation is applied to the study of neonate subjectivity, giving rise to the question: what is it like to be an infant? I begin by outlining prevailing responses to this question from the perspectives of Bionian metapsychology, mentalization, and affective neuroscience. These accounts demonstrate significant consistency in their conceptualization of a first differentiation of raw sensory and affective experience into the binary states of comfort and discomfort which, in health, are co‐regulated with the caregiver in the context of the relational dyad. However, such coherence at the level of description does not amount to phenomenological access to what it is like to be an infant; reflection on this question reveals the epistemological gap between developed and infantile states of mind. I consider the utility of Bion's concepts of reverie and O as resources for negative capability in respect of the inevitable condition of not knowing. A brief vignette is presented to illustrate this framework. Implications in relation to infant observation and clinical psychoanalytic practice are described.

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