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The dread to repeat: comments on the working-through process in psychoanalysis.

A Ornstein1

  • 1University of Cincinnati College of Medicine.

Journal of the American Psychoanalytic Association
|January 1, 1991
PubMed
Summary
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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.

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  • 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.