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Psychopathic, paranoid and depressive transferences
1Department of Psychiatry, New York Hospital, Cornell Medical Center, White Plains 10605.
The International Journal of Psycho-Analysis
|January 1, 1992
Summary
This study examines superego pathology in borderline personality organization, detailing how working through deceptive "psychopathic transferences" leads to paranoid and then depressive transferences, indicating a shift to neurotic personality organization.
Area of Science:
- Psychology
- Psychiatry
- Psychoanalysis
Background:
- Borderline personality organization often involves superego pathology.
- This pathology significantly impacts transference developments during therapy.
Observation:
- The study introduces 'psychopathic transferences' characterized by deceptiveness.
- Systematic interpretation and working through of these transferences are crucial.
Findings:
- Working through psychopathic transferences typically leads to the dominance of paranoid transferences.
- Subsequent work with paranoid transferences facilitates the emergence of depressive features in transference.
Implications:
- These transference transformations signal a structural shift from borderline to neurotic personality organization.
- Understanding and managing these stages is key for therapeutic success in personality disorders.