Read e-book online Psychic Retreats: Pathological Organizations in Psychotic, PDF

By John Steiner

Primarily medical in its method, Psychic Retreats discusses the matter of sufferers who're 'stuck' and with whom it really is tough to make significant touch. John Steiner, an skilled psychoanalyst, makes use of new advancements in Kleinian concept to provide an explanation for how this occurs. He examines the best way item relationships and defences could be prepared into complicated buildings which bring about a character and an research changing into inflexible and fixed, with little chance for improvement or switch. those structures of defences are pathological companies of the character: John Steiner describes them as 'psychic retreats', into which the sufferer can withdraw to prevent touch either with the analyst and with truth. to supply a history to those unique and debatable techniques, the writer builds on extra verified rules resembling Klein's contrast among the paranoid-schizoid and depressive positions, and in short reports earlier paintings on pathological companies of the character. He illustrates his dialogue with specific medical fabric, with examples of how psychic retreats function to supply a respite from either paranoid-schizoid and depressive anxieties. He appears to be like on the approach such companies functionality as a defence opposed to insufferable guilt and describes the mechanism wherein fragmentation of the character will be reversed so the misplaced components of the self will be regained and reintegrated in to the character. Psychic Retreats is written with the working towards psychoanalysts and psychoanalytic psychotherapists in brain. The emphasis is for that reason scientific through the ebook, which concludes with a bankruptcy at the technical difficulties which come up within the remedy of such significantly ailing sufferers.

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Additional info for Psychic Retreats: Pathological Organizations in Psychotic, Neurotic and Borderline Patients (New Library of Psychoanalysis ; 19)

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Although idealized, and hence a distortion of reality, the periods of integration, which at this stage take place in relation to good objects, can be seen as precursors of the depressive position. Pathological fragmentation Although normal splitting can effectively deal with much of the psychic 29 Psychic Retreats threat facing the individual, it frequently fails to master all the anxiety, even in relatively healthy individuals, and defences are called on which are more extreme and damaging in their effects.

The implication was that I had done something terrible and that she had to protect herself from the trauma I had created. The climate was a persecutory one and as she retreated one got a glimpse of a panicky feeling which made contact too terrifying to sustain. While at first she could appreciate that she had paranoid fears and make contact with me as someone who could help her with them, we could not prevent them from being enacted in the session, and when this happened she felt obliged to return to the refuge.

Although idealized, and hence a distortion of reality, the periods of integration, which at this stage take place in relation to good objects, can be seen as precursors of the depressive position. Pathological fragmentation Although normal splitting can effectively deal with much of the psychic 29 Psychic Retreats threat facing the individual, it frequently fails to master all the anxiety, even in relatively healthy individuals, and defences are called on which are more extreme and damaging in their effects.

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