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Perverse modes of thought.

Richard Zimmer1

  • 1lafzim@earthlink.net

The Psychoanalytic Quarterly
|October 23, 2003
PubMed
Summary

Subtle thinking disturbances can impair intellectual function and hinder psychoanalytic treatment. Analyzing these disturbances and associated fantasies through interpretation may improve clinical outcomes.

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Area of Science:

  • Psychology
  • Psychoanalysis
  • Psychiatry

Background:

  • Subtle, nonpsychotic disturbances in thinking can significantly impair intellectual functioning.
  • These disturbances can interfere with a patient's ability to engage in and benefit from psychoanalytic treatment.

Observation:

  • During psychoanalytic treatment, intellectual exchange can become a space for enacting perverse sexual fantasies.
  • These thinking disturbances are linked to underlying structures and associated fantasies.

Findings:

  • The paper describes specific disturbances in thinking.
  • A model is proposed to explain the structure of these disturbances and their connection to fantasies.
  • Interpretation and working through of transference, particularly part-object and whole-object transferences, are key.

Implications:

  • Addressing these thinking disturbances and associated fantasies can lead to clinical improvement.
  • Understanding the structure of these disturbances offers new avenues for psychoanalytic intervention.
  • This work contributes to the understanding of complex transference dynamics in psychoanalysis.

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