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The observing self and the development of cohesiveness
The British Journal of Medical Psychology
|September 1, 1979
Summary
This study analyzes the progression from fragmentation to cohesiveness in severely disturbed patients. This is crucial for analyzing narcissistic transferences and developing the observing self in initial treatment phases.
Area of Science:
- Psychology
- Psychiatry
- Psychoanalysis
Background:
- Severely disturbed patients often exhibit fragmentation.
- Psychotic patients require progression to cohesiveness before further analysis.
- Narcissistic transferences are a key area of focus in treatment.
Purpose of the Study:
- To analyze the movement from fragmentation to cohesiveness in severely disturbed patients.
- To identify the necessary progression for psychotic patients to enable analysis of narcissistic transferences.
- To focus the initial phase of treatment on developing the observing self.
Main Methods:
- Dynamic analysis of patient progression.
- Behavioral analysis of patient progression.
- Focus on the initial treatment phase.
Main Results:
- A progression from fragmentation to rudimentary cohesiveness was observed.
- This progression is a prerequisite for analyzing narcissistic transferences in potentially psychotic patients.
- The development of the observing self emerged as a key focus for initial treatment.
Conclusions:
- The transition from fragmentation to cohesiveness is vital for treating severely disturbed and potentially psychotic patients.
- Understanding this progression allows for targeted initial treatment strategies.
- Developing the observing self is a critical outcome of the initial treatment phase.