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By Esther Fine

Clinical functions of Psychoanalytic Theory offers in-depth descriptions of earlier and current analytic suggestions, with accompanying examples of ways those theories impact medical interventions. a variety of psychopathology is defined, together with baby abuse, ADHD, autism, and adverse acts played by means of adults in addition to via young children. money owed of the remedy procedure and development are prefaced by means of a evaluation of the literature. every one medical instance is followed by means of a psychoanalytic realizing of what transpired within the therapy whereas the ultimate bankruptcy studies the at present well known theories of what creates confident switch in remedy end result.

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He views unconscious intrapsychic conflict not as simply conflict between impulse and defense, but conflict between two opposing sets of internalized object relations. Each set consists of a self and an object representation affected by a drive derivative, which is experienced as an affect. In Kernberg’s theoretical schema borderline patients use the more primitive defenses like splitting, projective identification, denial, omnipotence, or devaluation. He terms them lower-level defenses and states that they are present early in life.

Freud, 1936; Fenichel, 1945; Klein, 1955; H. Segal, 1964, 1977; Blum, 1981; Kernberg, 1969, 1974, 1975, 1979, 1982, 1984; Kohut, 1971, 1977, 1978a, 1978b, 1979, 1984; Greenberg, 1974; Pulver, 1987; Wallerstein 1985, 1986; Reed, 1987). None of these contributions Four Psychoanalytic Perspectives 17 made any pretense of studying the differences with any kind of formal systematic methodology. Our research project was begun in 1980. At that time, one of us was invited to present to a seminar on dream analysis, sponsored by the Los Angeles Psychoanalytic Society, an analytic session that would demonstrate how analysis of a dream advanced the analytic process.

Identification with the aggressor is thought to be very important in the mastery of trauma and in superego formation. All the mechanisms of defense in the classical frame appear in normal development (A. Freud, 1965). The Kleinian school has also examined the adaptive nature of defense (H. Segal, 1963). Projective identification is viewed as the earliest form of empathy. It involves the capacity to put oneself in another person’s shoes. According to Kleinian theory, it also reflects the earliest form of symbol formation by projecting parts of oneself into the object and identifying parts of the object with parts of the self.

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