{"title":"Phobic core in the addictions and the paranoid process.","authors":"L Wurmser","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A discussion of \"Addiction and the Paranoid Process,\" by W. W. Meissner, M.D. Three major strata are distinguished in the psychodynamic make-up of addicts: (1) a sociopathic-paranoid stratum, (2) a depressive layer, and (3) a phobic core. The last consists of a claustrophobic constellation, with claustrophobia seen as primary. Parallel to phobic neurosis, and in contradistinction to the personalized paranoid construction, compulsive drug use is seen as an impersonal condensation system. The drug effect is a type of counterphobic fantasy. While the paranoid character blames others and the depressive character blames himself, the phobic character compulsively avoids the claustrum on the outside and the addictive character both searches for it and destroys it.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"8 ","pages":"311-35"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18439138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interminably a patient.","authors":"E O'Shaughnessy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"8 ","pages":"573-6"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18438917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transferences as differential diagnostic tools in psychoanalysis.","authors":"A Orstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A discussion of \"Clinical Application of the Concept of a Cohesive Sense of Self,\" by Joseph Lichtenberg, M.D. Clinical phenomena, symptoms and specific \"events\" such as fragmentation are not reliable differential diagnostic tools in psychoanalysis and psychoanalytic psychotherapy. Rather it is suggested that this purpose can be better served by the proper diagnosis of the developing cohesive transferences in the course of the psychoanalytic treatment process. The discovery of the selfobject transferences (the various forms of mirror and the idealizing transference) has broadened the scope of analyzable conditions. The recognition of these transferences which arise in relation to the reactivation of infantile narcissistic structures (the grandiose-exhibitionistic self and the idealized parent imago), are helpful in delineating patients with primary self-pathology from the neuroses on the one end and the borderline and psychotic conditions on the other end of the broad spectrum of psychological disorders. It is important to recognize the presence of cohesive transference in order to make a clinically meaningful diagnosis. This is demonstrated with the help of the clinical vignette presented by Lichtenberg. Mr. T is described as suffering from a narcissistic personality disorder--or what we would prefer to call primary self-pathology.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"8 ","pages":"115-23"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18441264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Truth therapy/lie therapy.","authors":"R Langs","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this paper an attempt is made to conceptualize a basic dimension of various psychotherapeutic treatment modalities, especially psychoanalysis and psychoanalytically oriented psychotherapy. The central variable under consideration is the extent to which each endeavors to approach the truth within both patient and therapist as it exists dynamically in terms of their spiraling unconscious communicative interaction. That treatment modality which takes into account every possible dimension of such truths is termed truth therapy. Treatment modalities that make no attempt to arrive at these truths or that deliberately or inadvertently falsify their nature are termed lie or barrier therapies. Extensive consideration is given to truth therapy and the truth system on which it is based. The basis for the need for lie therapies is explored, and lie systems, which may arise from either patient or therapist, or both, are identified. A classification of common types of lie patients and lie therapists (and their main techniques) is offered. The implications of this delineation for our understanding of the dynamic therapies are discussed, and a number of new clinical issues arising from this perspective are addressed.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"8 ","pages":"3-34"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18439137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The significance of Kleinian contributions to psychoanalysis II. Freudian and Kleinian conceptions of early mental development.","authors":"J Grotstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper discusses and compares Freudian and Kleinian conceptions of the development of early mental life from the vertices of the genetic hypothesis (and reconstruction), the infantile neurosis, the conception of the evolution of the infant, the issue of reality, and the oedipus complex. In so doing, some of the newer findings of infant development are considered. We can now correlate Kleinian conceptions of early infantile reconstruction in light of these new developments; this paper seeks further to demonstrate that the classical notion of primary narcissism, which is laterally known as the conception of the self-object representation, is incompatible with notions of infantile psychology and therefore leaves the classical conception of early mental life in an ambiguous state. An attempt is made to redress this by reconciling the classical and Kleinian notions via a \"dual-tract\" theory.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"8 ","pages":"393-428"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18440052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The uncovering of projective identification in the treatment of the borderline adolescent.","authors":"J Levy, R D Brown","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper illustrates a clinical finding from intensive family and individual therapy with borderline adolescents: The properly handled uncovering of projective identification leads to the building of parental empathy, and allows for the reopening of emotional growth for the adolescent and his parents. Projective identification is defined and applied in the context of intensive therapy, and its place is established as a link between interpersonal family relations and intrapsychic structure. The process of the uncovering of a specific object-relations conflict which had been defended by projective identification is illustrated by excerpts from the treatment situation.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"8 ","pages":"137-49"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18441266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The significance of Kleinian contributions to psychoanalysis I. Kleinian instinct theory.","authors":"J Grotstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The history of Freud's instinct theory shows that it ambiguously contains two separate roots of developments; one, the nutritional-transactional, and the other, the autoerotic discharge model. The former is the forerunner of Klein's instinct theory and the latter is considered classical theory. Kleinians and Freudians have not fully understood that each holds an instinct theory which is quite different from the other. The consequences of this theoretical dialectic are of great importance in distinguishing the Kleinian theory of fantasy from the Freudian theory of fantasy, the theory of repression, the theory of the unconscious, and ultimately the theory of the internal world.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"8 ","pages":"375-92"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18439141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Some comments on the treatment of the borderline personality.","authors":"T A Petty","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A discussion of \"Some Clinical Manifestations of Structural Defects in a Borderline Personality,\" by Alan Krohn, M. D. Because the borderline patient presents the gamut of symptomatology and therapeutic responses, diagnosis and treatment have been problems since the beginning of psychoanalysis. With her key conceptualization of the \"as if\" personality, Helene Deutsch, in the 1930s (1942), stimulated the clarification of both the diagnostic and therapeutic problems. The primitive ego defenses were delineated by Klein (1946), and Mahler's studies (1968) of symbiosis, separation, and individuation provided the developmental framework for the growing understanding of these conditions. Since then, many have contributed, none more than Kernberg (1975). He has proposed limiting the term borderline to a relatively specific, more or less stable personality with typical symptom constellations, defensive operations, pathology of internal object relations, and instinctual vicissitudes. These conditions dictate a modification of therapeutic technique practiced by many but formulated by Kernberg, Masterson (1972, 1976), Boyer (1977), and others. Essential to the implementation of this modified technique is the understanding of the defensive operations and the pathology of the internal object relations. Particular emphasis is given to two defensive operations, splitting and projective identification, and to aspects of the other concepts especially pertinent to the therapy of the borderline. The work of Kernberg has been drawn on extensively.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"8 ","pages":"363-74"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18439142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expiation as a defense.","authors":"R R Malcolm","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper presents a specific defense mechanisms that leads not only to the stagnation of the analysis but also makes it difficult to terminate analysis. The predominance of what I call \"expiation\" demands continual punishment of the self and of internal objects in contrast with reparation. It is essential for the patient to maintain the immobilization of the analyst and of the analytic work. This defensive constellation aims at protecting the patient from the pain that comes from the guilt brought from the realization that his good and loved object is the same one that he hates and has attacked. Expiation is to be distinguished from the negative therapeutic reaction as well as from other problems in psychoanalysis. A case is presented. There is also a discussion of the relevant psychopathology and of the technical problems expiation poses, with particular attention to countertransference.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"8 ","pages":"549-70"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18440058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Complementarity between the styles of the patient's material and the interpretation.","authors":"D Liberman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper shows the importance of the characterization of the patterns of interaction between patient and analyst in the psychoanalytic process. These patterns are called \"styles\" and comprise both the patient's ways of offering his material and the analyst's ways of receiving it, as well as the linguistic characteristics of his interpretations. Different styles in the psychoanalytic dialogue are exposed and correlated with specific ego states, anxieties, and mechanisms of defense. A new stylistic nosography is proposed, correlated with a communicational nosography and the classical psychiatric psychopathological states. A clinical sample of a psychoanalytic session is presented.</p>","PeriodicalId":75941,"journal":{"name":"International journal of psychoanalytic psychotherapy","volume":"8 ","pages":"125-36"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18441265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}