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Related Experiment Videos

Psychological-mindedness as a defense

G I Fogel1

  • 1Columbia University Center for Psychoanalytic Training and Research, USA.

Journal of the American Psychoanalytic Association
|January 1, 1995
PubMed
Summary

Sophisticated patients often misuse psychological defenses, hindering emotional growth. Therapeutic breakthroughs require confronting these defenses to foster authentic self-understanding and integration.

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Area of Science:

  • Psychology
  • Psychoanalysis
  • Psychotherapy

Background:

  • Modern patients exhibit advanced psychological defenses, such as premature synthesis and reflective capacities.
  • These defenses serve to avoid confronting primitive conflicts and fragmented experiences.

Observation:

  • Patients may misuse talents like free association and fantasy, paradoxically impoverishing their inner lives.
  • Therapeutic progress necessitates 'traumatization'—dedifferentiating experiences that challenge patients' self-awareness.

Findings:

  • Complex interactions between structural, process, and content variables influence therapeutic authenticity.
  • Early life experiences reveal premature application of coping mechanisms, hindering psychological development.

Implications:

  • Therapeutic misunderstandings can arise, but also opportunities for deeper, more authentic connections.
  • Clinical work with this growing patient population benefits from integrating developmental, structural, and object relations theories.

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