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The dread to repeat: comments on the working-through process in psychoanalysis.
1University of Cincinnati College of Medicine.
Journal of the American Psychoanalytic Association
|January 1, 1991
Summary
Psychoanalytic self psychology reconceptualizes the working-through process, emphasizing empathic listening and selfobject transferences. Transference symptoms reveal compromises between defenses and psychic structures, aiding in overcoming narcissistic injury.
Area of Science:
- Psychoanalysis
- Psychology
- Psychodynamic Therapy
Background:
- Reconceptualizes the analytic process through psychoanalytic self psychology.
- Highlights the importance of empathic listening and selfobject transferences.
- Integrates self psychology principles into understanding the working-through process.
Observation:
- Illustrates how archaic defenses and developing psychic structures compromise within transference symptoms.
- Identifies transference symptoms as critical nodal points in psychoanalytic working through.
- Demonstrates the transition from automatic responses to narcissistic injury to utilizing signal anxiety.
Findings:
- Transference symptoms represent a compromise solution between old defenses and new psychic structures.
- These symptoms are transitional phases in the working-through process.
- The illuminated psychopathology is phenomenologically described as a self-defeating personality disorder.
Implications:
- Offers a self psychology framework for understanding the psychoanalytic working-through process.
- Provides insight into the function of transference symptoms in therapeutic change.
- Enhances the understanding and treatment of self-defeating personality disorders within psychoanalysis.