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Related Experiment Videos

Object relations and intersubjectivity in depression.

H Weiss1, H Lang

  • 1Department of Psychosomatic Medicine, Robert-Bosch-Krankenhaus, Stuttgart.

American Journal of Psychotherapy
|September 29, 2000
PubMed
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Depression involves internalizing aggression towards a lost object, hindering mourning. Therapy must provide a secure base and address negative transference to foster patient autonomy.

Area of Science:

  • Psychoanalytic theory
  • Clinical psychology
  • Psychodynamic psychiatry

Background:

  • Explores Freud's (1917) concept of depression as a defense mechanism against loss.
  • Highlights the internal redirection of aggression from a lost object to the self.
  • Discusses the pathological shift from self-object relations to intra-self dynamics.

Observation:

  • Mourning and guilt processing are impeded by the need for symbiotic, idealizing identification.
  • Narcissistic vulnerability makes depressive patients susceptible to psychic disequilibrium from perceived failures or object loss.
  • Challenges arise in transference-countertransference dynamics due to patient vulnerabilities.

Findings:

  • Depression involves a defensive identification with a lost object, turning aggression inward.

Related Experiment Videos

  • The inability to mourn stems from a need for idealized object relations to maintain identity.
  • Psychic instability is triggered by changes, failures, and disappointments, leading to aggression and fear of loss.

    • Implications:

    • Therapeutic interventions require a secure framework to build patient autonomy.
    • Thorough exploration and working through of negative transference are crucial for therapeutic progress.
    • Understanding these dynamics is key to effectively treating depressive disorders.