By Otto Kernberg
During this publication a number one psychoanalytic clinician and theoretician offers his techniques at the most recent psychodynamic advancements and insights with regards to therapy of critical character issues. 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 every one bankruptcy he integrates the guidelines of ecu and Latin American psychoanalytic thinkers, bringing them to the eye of English-speaking readers. This publication contains a choice of lately released magazine articles. Their assortment into one quantity makes on hand Dr. Kernberg's current considering on an enormous topic.
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Additional info for Aggressivity, Narcissism, and Self-Destructiveness in the Psychoterapeutic Relationship: New Developments in the Psychopathology and Psychotherapy of Severe Personality Disorders
I have argued that libidinal development in the infant-mother relationship presupposes the infant’s innate disposition toward attachment, which requires external stimulation to become activated, and that the same reasoning may be applied to the development of rage and angry protest when external circumstances frustrate the infant’s needs or desires. In both cases an internal disposition toward a peak affect response is actualized by environmental stimuli—the caregiving object. At the center of each of these basic responses are primitive affects.
Such patients chronically mutilate themselves by picking at their skin or mucosas and present other patterns of primitive sadomasochistic behavior. Characterologically anchored suicidal tendencies in borderline patients are another expression of self-directed hatred. The antisocial personality proper may be conceived as a personality structure so dominated by hatred that primitive, split-off idealizations are no longer possible; the world is populated exclusively by hated, hateful, sadistic persecutors.
A restricted, encapsulated sadistic perversion may represent one outcome of these conflicts. As Stoller () pointed out, sexual excitement always includes an element of aggression, and an organized perversion typically expresses the need to undo in fantasy an experienced trauma or humiliation from the past in the sexual realm. In still less severe characterological forms of hatred, the sadistic implications of certain obsessive-compulsive personality structures contain this dynamic, as may certain personality structures with reaction formations against dependency that express the unconscious fear that all dependent relationships imply submission to a sadistic object.
Aggressivity, Narcissism, and Self-Destructiveness in the Psychoterapeutic Relationship: New Developments in the Psychopathology and Psychotherapy of Severe Personality Disorders by Otto Kernberg