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Published on: May 9, 2019
Performance as annihilation or integration?
Joachim F Danckwardt1, Peter Wegner
1Im Buckenloh 2, D-72070 Tübingen, Germany. JFDanckwardt@t-online.de
The International Journal of Psycho-Analysis
|October 3, 2007
Summary
Psychoanalytic interpretation of patient annihilation can be overly simplistic. A new concept, "performance," offers a more nuanced understanding of therapeutic impasses, distinguishing between destructive and restitutive processes.
Area of Science:
- Psychoanalysis
- Psychodynamic Psychotherapy
- Clinical Psychology
Background:
- Analysts often use broad concepts like destructiveness or psychosis to explain patient annihilation.
- These simplistic models may not accurately reflect clinical reality.
- Recent research suggests differentiating psychotic mechanisms based on Freud's concept of ego-world relation disruption.
Purpose of the Study:
- To introduce and define the concept of "performance" as a more discriminating explanatory model in psychoanalysis.
- To differentiate "performance" from related concepts like acting out, enactment, and role responsiveness.
- To explore how "performance" can be understood as either an organizing blueprint or a destructive process facilitating relational emergence.
Main Methods:
- Conceptual analysis and definition of "performance" in psychoanalytic theory.
- Comparison of "performance" with existing concepts such as acting out and enactment.
- Detailed clinical example to illustrate the application and implications of the "performance" concept.
Main Results:
- Simplistic explanatory models may evade rather than mirror clinical reality.
- Symptoms and disturbances can have a restitutive function, clearing the way for therapeutic progress.
- Understanding "performance" allows for the recognition of organizing blueprints or destructive relational shifts.
Conclusions:
- The concept of "performance" offers a more discriminant process than simplifying models.
- Recognizing "performance" as a blueprint or a destructive-yet-restorative act can prevent treatment failure.
- This framework provides a chance for integrating processes that impede treatment, fostering therapeutic progress.
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