Aggressivity, Narcissism, and Self-Destructiveness in the by Otto Kernberg

By Otto Kernberg

During this ebook a number one psychoanalytic clinician and theoretician offers his innovations at the most up-to-date psychodynamic advancements and insights regarding remedy of serious character problems. Dividing his discussions into sections, one on psychopathology and the opposite on psychotherapy, Dr. Otto Kernberg examines borderline character affliction, narcissism, sexual inhibition, transference and countertransference, suicidal behaviour, and consuming issues. In each one bankruptcy he integrates the guidelines of ecu and Latin American psychoanalytic thinkers, bringing them to the eye of English-speaking readers. This e-book incorporates a choice of lately released magazine articles. Their assortment into one quantity makes available Dr. Kernberg's current considering on an incredible 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

Sample text

In these patients, the tolerance of ambivalence characteristic of higher-level neurotic object relations is replaced by a defensive disintegration of the representations of self and objects into libidinally and aggressively invested part-object relations. The more realistic or more easily understandable past object relations of neurotic personality organization are replaced by highly unrealistic, sharply idealized, or sharply aggressivized or persecutory self- and object representations that cannot be traced immediately to actual or fantasied relations of the past.

The most severe cases of borderline personality organization give evidence of a severe primary inhibition of the sexual response, derived from insufficient activation of bodily sensuality and the overriding development of aggressive reactions in the context of major disturbances in early object relations, particularly those of the mother-infant dyad. As mentioned above, Krause () has proposed that affects constitute a phylogenetically recent biological system evolved in mammals to signal the infant’s needs to its mother, corresponding to the mother’s inborn capacity to read and respond to the infant’s affective signals.

If a disposition to strong sadomasochism becomes incorporated into or controlled by a relatively healthy superego structure (which also incorporates a depressive potential into a disposition to guilt-laden responses), and ego identity is achieved, the conditions for a depressive-masochistic personality disorder are also present. This personality may be considered the highest level of two developmental lines that proceed from the borderline personality through the sadomasochistic to the depressivemasochistic, on one hand, and from the hypomanic through the cyclothymic to the depressive-masochistic personality disorders, on the other.

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