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Identity maintenance in the affectively distant patient.

Irwin Hoffman1

  • 1Los Angeles Institute and Society for Psychoanalytic Studies, USA.

Journal of the American Psychoanalytic Association
|July 19, 2003
PubMed
Summary
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Psychoanalytic treatment can help affectively distant patients by analyzing their fear of acceptance. This approach fosters greater identity and personality integration.

Area of Science:

  • Psychoanalysis
  • Psychology
  • Psychotherapy

Background:

  • Affectively distant patients, characterized by emotional detachment, are increasingly discussed in psychoanalytic literature.
  • Traditional views include developmental struggles against symbiotic union or Kleinian concepts of fusion fantasies leading to annihilation anxiety and autistic defenses.

Observation:

  • Heinz Lichtenstein's work highlights early identity maintenance and mirroring experiences with the mother, forming an "identity theme."
  • This "identity theme" acts as a symbiotic precursor to ego identity, linking the self to the mother.
  • This primitive identity can lead to regressive self-definition in the transference of affectively distant patients.

Findings:

  • Two case studies illustrate the dynamics and transference patterns in the psychoanalysis of affectively distant patients.

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  • The analysis focuses on the patient's catastrophic fear of acceptance and resulting self-protective measures.
  • Consistent analysis of these transference conflicts promotes identity and personality integration.

    • Implications:

    • Understanding the role of "identity themes" and fear of acceptance is crucial for treating affectively distant patients.
    • Psychoanalytic interventions targeting transference can lead to significant improvements in identity integration.
    • This research contributes to the psychoanalytic understanding of emotional distance and its therapeutic resolution.