Contemporary Controversies in Psychoanalytic Theory, by Doctor (M.D.) Otto Kernberg M.D.

By Doctor (M.D.) Otto Kernberg M.D.

During this vital booklet, Otto F. Kernberg gathers jointly either formerly released articles and broad new fabric, to check such concerns because the new psychoanalytic perspectives of homosexuality, bisexuality and the impression of gender within the analytic dating. He explores the applying of psychoanalysis to non-clinical fields, together with the matter of psychoanalytic learn and its medical implications, the validation of psychoanalytic interventions within the medical approach and the demanding situations of psychoanalytic schooling. He indicates how psychoanalysis may help in addressing such difficulties as socially sanctioned violence, and asserts the relevance of item kinfolk concept and its compatibility with Freud's twin force conception.

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French mainstream psychoanalysis also focuses on archaic aspects of oedipal developments but places much more emphasis on Freud’s dual-drive theory and on the affective nature of the early ego-id (Chasseguet-Smirgel, 1986). But in that neither mainstream nor Lacanian psychoanalysis spells out specific structural consequences of dyadic internalized object relations, neither would fit the definition of object relations theory proposed in this chapter. Object relations theories have several additional characteristics in common.

Fairbairn considered this splitting of the ego to be in the service of defense; the splitting of a fundamental core object that was libidinally invested and yet frustrating at the same time—a basic “schizoid” operation—leads to the repression of the frustrating aspect of the object as a bad internal object (the antilibidinal object) and of the exciting aspect of the object as an unavailable, libidinal object. In psychoanalytic treatment, the patient’s initial relationship to the analyst as an ideal object reflects the activation of the central conscious ego as a defense against the repressed libidinal and antilibidinal internalized object relationships; these, however, gradually emerge in the transference as well.

Supportive psychotherapy, originally the treatment of choice for patients with severe personality disorders, now may be considered the alternative treatment for patients with severe personality disorders who are unable to participate in psychoanalytic psychotherapy. , 1972). FREUD’S THEORIES VARIATIONS 23 Standard psychoanalysis is the treatment of choice for patients with neurotic personality organization—that is, those with good identity integration and a repertoire of defenses centering on repression—along with sufficiently severe illness to warrant such a major therapeutic intervention.

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