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Related Experiment Videos

On discriminating and not discriminating between affect and representation.

A Green

    The International Journal of Psycho-Analysis
    |June 11, 1999
    PubMed
    Summary

    This study explores the blurred distinction between affect and representation in borderline personality disorders, highlighting challenges in psychoanalytic treatment and proposing a hypothesis on the deficiency of psychic structures.

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    Area of Science:

    • Psychology
    • Psychoanalysis
    • Psychiatry

    Background:

    • Freud's work explored the distinction between affect and representation in the unconscious.
    • Contemporary psychoanalysis often prioritizes object relations, leaving some of Freud's questions unanswered.
    • Borderline personality disorders exemplify difficulties in discriminating affect from representation.

    Purpose of the Study:

    • To elucidate Freud's concepts of affect-representation discrimination in the unconscious.
    • To examine the clinical manifestations of this deficit in borderline personality disorders.
    • To propose a hypothesis regarding the developmental origins of impaired psychic structures.

    Main Methods:

    • Analysis of psychoanalytic literature, focusing on Freud's theories and contemporary perspectives.

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  • Clinical case description of borderline personality disorders, detailing transference and countertransference patterns.
  • Hypothetical model development for the deficiency of intermediary psychic formations.
  • Main Results:

    • In borderline personality disorders, a lack of affect-representation discrimination is evident.
    • Transference is characterized by overwhelming feelings, repetition compulsion, acting out, and somatic reactions.
    • Countertransference includes helplessness, despair, and difficulty in interpreting patient communication.
    • Impaired intermediary formations lead to limited representational capacities and phenomena like negative hallucinations.
    • Communication is often contradictory, with paradoxical object relations and unanalyzable transference.

    Conclusions:

    • The deficiency in intermediary formations may stem from inadequate cathexis from the primary object.
    • The establishment of these formations is crucial for accepting separation and fostering internal reliance.
    • Internal psychic processes, oriented towards the body, form the core of the primordial psychic world.