One response to the growing number of patients consulting with severe psychopathology, and for whom classical psychoanalysis is not indicated, has been to reshape the framework of the psychoanalytic setting. Taking into consideration the transitional-type frame proposed to such patients fosters a reflection on the impact of this reshaping and its therapeutic potential. We examine how psychoanalytic approaches that are not entirely vectorized by language, notably art mediated psychoanalytic psychotherapy, are conducive to making or rendering visible unconscious conflicts and support a “secondary reintrojection” (Baldacci, 2010) through their objectifying power. This paper acknowledges a growing recognition of what the reinvented frame owes to patients themselves (Birot, 2018). The disposition of the psychotherapist to implement the reshaped psychoanalytic frameworks is also examined, which, in the context of artistic mediation, is best captured through the consideration of the representability of the image in its double valence—material and psychic.