By Otto Kernberg
During this publication a number one psychoanalytic clinician and theoretician offers his suggestions at the most modern psychodynamic advancements and insights regarding remedy of serious character issues. Dividing his discussions into sections, one on psychopathology and the opposite on psychotherapy, Dr. Otto Kernberg examines borderline character disease, narcissism, sexual inhibition, transference and countertransference, suicidal behaviour, and consuming problems. In each one bankruptcy he integrates the information of ecu and Latin American psychoanalytic thinkers, bringing them to the eye of English-speaking readers. This publication features a choice of lately released magazine articles. Their assortment into one quantity makes available Dr. Kernberg's current considering on a huge topic.
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Extra resources for Aggressivity, Narcissism, and Self-Destructiveness in the Psychoterapeutic Relationship: New Developments in the Psychopathology and Psychotherapy of Severe Personality Disorders
Unconscious envy in the analytic situation is a significant source of the negative therapeutic reaction, more primitive and severe than unconscious guilt, which expresses more advanced superego pressures and conflicts. Unconscious envy projected onto the analyst and reintrojected into superego functions may lead to unconscious envy directed against the self. Another consequence of the structural fixation of rage in the form of hatred is an unconscious identification with the hated object. Insofar as the internalized object relation of hatred is that of a frustrated, impoverished, pained self relating to a powerful, withholding, teasing, sadistic object, unconscious identification with both victim and victimizer intensifies the actual relation with the frustrating object, bringing about increased dependency in reality on the hated object in order to influence, control, or punish it or to transform it into a good object.
Temperament also includes genetically and constitutionally determined behavioral and cognitive patterns, such as some gender-role-specific traits. Accepting in theory the possibility that genetic and constitutional factors as well as environmental and psychodynamic factors may play a role, the question of how to conceptualize aggression and understand its involvement in the development of severe psychopathology remains. Contemporary biological instinct theory has evolved into an integrated view of instinct and environment, conceptualizing inborn dispositions to behavior patterns that are activated under determinate environmental conditions, leading to the activation of a sequence of exploratory and consummatory behaviors.
Kernberg a]), and the antisocial. These patients present identity diffusion, the manifestations of primitive defensive operations, and varying degrees of superego deterioration (antisocial behavior). A particular group of patients—namely, those with the narcissistic personality disorder, the malignant narcissism syndrome, and the antisocial personality disorder—typically suffer from significant disorganization of the superego. Because of identity diffusion, all those with personality disorders in the borderline spectrum present severe distortions in interpersonal relations, particularly in intimate relations with others, lack of a consistent commitment to work or profession, uncertainty and lack of direction in many other areas of their lives, and varying degrees of pathology in their sexual life.
Aggressivity, Narcissism, and Self-Destructiveness in the Psychoterapeutic Relationship: New Developments in the Psychopathology and Psychotherapy of Severe Personality Disorders by Otto Kernberg
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