Psychoanalytic Psychotherapy: A Modern Kleinian Approach by Robert Waska

By Robert Waska

This quantity is a set of papers written from the trendy Kleinian point of view on various medical concerns encountered in daily psychoanalytic perform. It presents the reader a different chance to step into the consulting workplace of a Kleinian psychoanalyst and know about the moment-to-moment equipment of operating with numerous complex and sometimes complicated medical events. the chosen issues are approached from a theoretical vantage that's then fleshed out with wide case fabric, permitting the reader to proportion within the scientific adventure. infrequently does a psychoanalytic textual content enable the reader into the "he said/she stated" trade in this sort of shut diversity, intimate demeanour.

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Example text

They feel such rage, 30 Robert Waska envy, and sadness that they can=t bear to acknowledge the helpful aspects of the treatment and the moments where their relational wishes are fulfilled. The inability to take in positive possibilities or good portions of a situation make problem solving and negotiation impossible. Frustration tolerance is a characteristic of whole object relating. When an organization or group changes or restructures, it demands the individual be able to tolerate ambiguity, loss, and change of roles.

Therefore, the ego begins to equate its part-objects with other things both internally and externally. Projected aggressive feelings again turn these objects into dangerous or damaged objects, so the ego again makes new and different equations. This is the formation of symbolic function, which shapes sublimation and creativity. This positive growth force is fostered by the balance between plentiful good objects and a healthy use of splitting and projective identification. These normal aspects of development can be derailed by excessive internal pressures from bad objects, intensive and unmodulated ego aggression, or a stressful external environment.

Pg. 31) While Tustin is including both internal representations and external real objects in her definition, I am emphasizing the use of intra-psychic and somatic experiences as the cornerstone in producing these pathological autistic objects. I will present a case in which a paranoid psychotic patient used somataform difficulties and sadomasochistic ways of relating to create autistic objects that provided a jagged psychological surface. This prevented her from falling into the endless anxieties of the Autistic-Contiguous position (T.

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Psychoanalytic Psychotherapy: A Modern Kleinian Approach by Robert Waska
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