Modern Psychoanalytic Tx Flashcards
Fundamentals of Object Relations Theory
(Fairbairn 1941)
- Primary motivation of a child is object seeking not drive gratification
- Basic patterns of relatedness are established in the past and become the expected way of relating.
Reasons for enacting
(Pine, 1990)
- Mastery
- Turning the Passive into active
- Dramas are pleasurable
OR definition of Pathology
(Pine, 1990)
Individual carries around internal drama and enacts multiple roles
OR Approach to Conceptualization
(Pine, 1990)
- What are the pain objects like
- How are they experienced
- How have they been Internalized
- How are they manifest in the adult
OR curative factor
changed capacity for relatedness
Fairbairn: Definition of pathology
(Fairbairn 1941)
- Libido is object seeking (not pleasure seeing)
- Pathology is the degree to which perception of current reality is determined by internal drama
- Pathology = old bad introjects (not conflicts)
Fairbairn: View of repression
(Fairbairn 1941)
-People repress relationships and relationship ties to the parents which cannot be integrated into other configurations
Fairbairn: View of psych development
(Fairbairn 1941)
- Child bonds to parents through whatever content parents provide
- If parents engage in pleasurable exchanges the child is pleasure seeking with others
- If parents provide painful experiences, children seek pain as a form of connection
Fairbairn: Curative factor
(Fairbairn 1941)
- The emotional connection with therapist with therapist neutral supportiveness
- Patient sees how old dramas are enacted through interpretations (insight is not enough)
- Patient learns new way of relating
Winnicott: View of pathology
(Winnicott 1949)
- Pathology comes from maternal deprivation, lack of “good enough” mothering (physical and emotional attunement)
- Patients shape the treatment to provide experiences missed in childhood
- If the Holding Environment has too much stimulation it can be traumatizing, too little and the child develops a false self to appease the objects
Winnicott: Curative factor
(Winnicott 1949)
- The search for the true self apart from the false self ;look at who you really are, not who you want to be
- The patient becomes comfortable in their own skin and authentic
- The holding environment provides patients opportunity to discover who they are
Kohut: View of pathology
(Kohut 1971)
- developmental failures
- Children need caregivers to mirror empathy, affirm, validate, and provide idealizing
- failure in Transmuting Internalization
Kohut: patient’s therapy gainz
(Kohut 1971) BAAA
- Boundaries
- Agency
- Authenticity
- Affective tone (sense of wholeness of a person’s inner experience)
Kohut: Curative factor
(Kohut 1971)
- Transmuting Internalizations: to slowly and appropriately experience frustrations
- Therapist slowly fails to be an empathic selfobject
- encourages increased self-care
- helps patient to relinquish external idealization
- goal of an integrated self where they can depend on their own internal processes for self-esteem
Kohut: Development of the self
(Kohut 1971)
- we begin in a state of healthy infantile narcissism
- there are three poles of libidinal need: grandiose needs (feeling special and sense of well-being), idealized parental imago (ability to see strength and hope outside self to seek soothing and direction), and twinship (belonging and security)
- needs are met through selfobjects. The mirroring selfobject confirms sense of greatness and esteem, and the idealized selfobject has great power and provides calmness and security
- The transition from childish grandiosity to mature self occurs through transmuting internalization which forces the child to internalize the selfobjects
