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Projective identification

Projective identification is the unconscious phantasy of putting split-off parts of the self into another person, who is then felt to contain them or to be them; it often evokes in that person feelings that match what was projected. Melanie Klein described it in Notes on Some Schizoid Mechanisms[1] (1946) as one of the defences of the infant's earliest phase, which she later called the paranoid-schizoid position. The concept grew out of her account of projection, presupposes splitting, and is counted among the defences.

Analysts who took up Klein's concept carried it into the treatment of psychotic and borderline patients. Herbert Rosenfeld used it in the first clinical paper to apply the new term, Hanna Segal explained disturbed symbol formation by it, and Wilfred Bion described a normal form of it as the infant's earliest means of communication. Donald Meltzer, Otto Kernberg and Thomas Ogden later distinguished its forms and motives, used it to read borderline transferences, and described it as an interpersonal process that acts on the person who receives the projection. Several later concepts derive from it, among them Segal's symbolic equation, Bion's container and contained and Ogden's analytic third.

Klein's introduction

Klein's paper first appeared in the International Journal of Psycho-Analysis in 1946 and was reprinted, revised, in Developments in Psycho-Analysis[2] (1952). It describes the months that precede the depressive position she had set out in the 1930s. In this phase the infant's anxiety is mainly persecutory: a fear of annihilation arising from the death instinct within, which is deflected outward and met again as persecution. Its chief defence is splitting. The object, at first the breast, is divided into a good and a bad one, and since the ego cannot split the object without being split itself, the same division runs through the self.

Projective identification is the phantasy that builds on this splitting. Split-off parts of the self are forced into the mother in order to harm, possess and control her, and she comes to be felt as those parts. When the hated parts are projected into her, she is felt to contain them and to be the bad self, and Klein takes the identification that follows as the prototype of an aggressive object relation. Good parts of the self are projected too. Within limits this is necessary for good object relations, but in excess it depletes the ego. Klein treats excessive splitting and projective identification together as what weakens the ego in the earliest position, and she argues that when persecutory anxiety and splitting are too strong the depressive position cannot be worked through, so that the fixation points of schizophrenia lie in this first position.

The name came in two steps. The term appears only once in the 1946 paper; the sentence that explicitly proposes it as a name for these processes was added in the revised version of 1952. The same paper takes the word schizoid from Ronald Fairbairn, whose account of schizoid phenomena Klein discusses at length, accepting much of it while objecting to his neglect of anxiety, aggression and the death instinct.

Definition and relation to projection

The New Dictionary of Kleinian Thought (2011), whose entry the Melanie Klein Trust reproduces, defines projective identification as an unconscious phantasy in which aspects of the self or of an internal object are split off and attributed to an external object. What is projected may be felt by the projector to be either good or bad. The phantasy need not be accompanied by any action, but it may come with "evocative behaviour unconsciously intended to induce the recipient" to feel and act in accordance with it. The entry also gives such phantasies acquisitive as well as attributive properties: the projector may not only get rid of parts of the mind but also, in phantasy, enter the other in order to take qualities they want, so that projective and introjective phantasies operate together.

On its relation to projection, the same entry says that British Kleinians tacitly treat projection and projective identification as the same thing, regarding the latter as an enrichment or extension of Freud's concept of projection. In Klein's 1946 account the projection is followed by an identification: the mother is felt to contain the projected parts and to be them.

Psychotic states: Rosenfeld and Segal

Rosenfeld's Analysis of a Schizophrenic State with Depersonalization[3] (1947) was the first clinical paper to use Klein's newly named concept. In his account the psychotic transference is carried by projective identification: the patient puts split-off parts of the self into the analyst, who is then experienced as those parts rather than as a separate person. The 1947 paper was collected with others written between 1946 and 1964 in Psychotic States[4] (1965), which also contains his paper On the Psychopathology of Narcissism[5] (1964). There the omnipotent narcissistic object relation rests on projective and introjective identification: parts of the self are put into the object, and the object is taken in as if it were the self, so that no separate object is acknowledged.

Rosenfeld's posthumous book Impasse and Interpretation[6] (1987) deals with the analyst's contribution to successful and unsuccessful treatment and with the sources of therapeutic impasse, and gives one of its four parts to the influence of projective identification on the analyst's task, another to the influence of narcissism on it. In his later work Rosenfeld sorted the forms of projective identification by motive: communicative projections that the analyst can contain, as against evacuative and controlling ones aimed at denying separateness and dependence.

In Notes on Symbol Formation[7] (1957) Segal used projective identification to account for disturbances of symbol formation in psychotic patients. When projective identification is excessive, part of the ego is identified with the object, and the symbol, itself a creation of the ego, is then identified with the object it stands for; this is the symbolic equation. Later, after Bion, Segal separated the pathological form of projective identification from its normal, communicative use.

Bion: communication and containment

In Attacks on Linking[8] (1959) Bion describes the attacks that the psychotic part of the personality makes, in phantasy, on anything it feels to be a link between two objects. He places these attacks within Klein's paranoid-schizoid position and her account of splitting and projective identification, but adds a distinction of his own. Projective identification is not only a means of evacuating unwanted parts of the self. In its normal form it is the infant's earliest way of communicating: the infant puts into the mother feelings it cannot bear, such as the fear that it is dying, so that they can be modified there and taken back in a form it can tolerate. When the mother, and later the analyst, will not receive these projections, the infant resorts to projective identification with ever greater force and frequency, and its development deteriorates. Bion therefore traces attacks on linking to two sources together: an inborn disposition to destructiveness, hatred and envy, and an object that denies the patient the normal use of projective identification. The outcome is a primitive superego that forbids projective identification, and an internal object that intensifies the emotions it was needed to modify.

In Learning from Experience[9] (1962) the same model enters a theory of thinking. Sense impressions and emotional experiences that alpha-function does not transform remain as beta-elements, undigested facts fit only to be evacuated by projective identification or discharged in action. Alpha-function develops in the infant through the mother's capacity for reverie: she takes in the states the infant projects into her, such as a fear of dying, and returns them in a form it can bear, and the infant introjects the function along with them. When she cannot, what returns to the infant is nameless dread. In the book's later chapters Bion abstracts this mother–infant model into the relation of container and contained, a concept that derives from projective identification and that his later books develop.

Meltzer: geography, intrusion and adhesion

Meltzer followed the concept from his first book, The Psycho-Analytical Process[10] (1967), to The Claustrum[11] (1992). In the first, projective identification organises the gathering of the transference, and massive projective identification produces geographical confusions between inside and outside, self and object, which the analysis then has to sort out. In the second he separates its intrusive, omnipotent form from the communicative projective identification described by Bion. He keeps the name projective identification for communicative projection into a receptive container, and calls the omnipotent phantasy of forcing one's way into the internal mother to possess her qualities intrusive identification. The inner world it produces is the claustrum, divided into the compartments of the head-breast, the genital and the rectum, in which the intruder lives in claustrophobic dread of expulsion.

In Explorations in Autism[12] (1975), the report of a research group of child psychotherapists he led, Meltzer described a way of relating that diverges from projective identification. Projective identification needs an object with an inside to project into. Adhesive identification belongs to a two-dimensional world without inner space, in which the self sticks to the object's surface and imitates it instead of entering it.

Borderline patients and the interpersonal process

In Borderline Conditions and Pathological Narcissism[13] (1975) Kernberg counted projective identification among the primitive defences, centred on splitting, that mark borderline personality organization. Borderline patients put into others what they cannot bear in themselves while still feeling it and trying to control the other, and Kernberg used the concept to read their transferences. A chapter of the same book argues for treating the analyst's whole emotional response, the countertransference, as a source of knowledge about such patients.

Ogden, in On Projective Identification[14] (1979) and Projective Identification and Psychotherapeutic Technique[15] (1982), described projective identification as at once an unconscious fantasy, a mode of communication, a primitive object relation and a pathway for psychological change. He set out three phases: a fantasy of putting part of oneself into another person; interpersonal pressure that leads the recipient to feel and act in line with it; and the recipient's processing of what was induced, which the projector can then take back in modified form. In Subjects of Analysis[16] (1994) he recast projective identification as a form of the analytic third, the subjugating third, in which the separate subjectivities of analyst and patient are partly subsumed and then reclaimed.

Normal and pathological forms

The authors above distinguished forms of projective identification by what is projected and why. Klein held that good parts of the self are projected as well as bad ones, and that within limits this is necessary for good object relations, while in excess it depletes the ego. Bion separated a normal, communicative projective identification from the evacuation of unwanted parts, and Segal, after him, separated its pathological form from its normal use. Rosenfeld distinguished communicative projections, which the analyst can contain, from evacuative and controlling ones. Meltzer kept the name for the communicative form and gave the omnipotent one a name of its own. The New Dictionary of Kleinian Thought distinguishes attributive from acquisitive phantasies, and Ogden's account adds the recipient's part, in which what was induced is processed and can be taken back.

Projective identification derives from projection and splitting and belongs to the paranoid-schizoid position. The symbolic equation, narcissistic object relations, the psychotic transference, attacks on linking, container and contained, and the analytic third all derive from it. Intrusive identification and the claustrum name Meltzer's omnipotent form of it and the inner world that form produces, while adhesive identification describes a mode of relating that diverges from it. Bion's alpha-function, beta-elements and reverie describe what happens to projected states when they are, or are not, received and transformed.

Development

  • 1946

    Melanie Klein introduced by

    In 'Notes on some schizoid mechanisms' (1946) Klein describes the infant's phantasy of expelling split-off parts of the self into the mother, so that the mother is identified with the hated parts of the self. The term 'projective identification' appears once in the 1946 paper; the sentence explicitly proposing it as a name for these processes was added in the revised version printed in Developments in Psycho-Analysis (1952).

    In Notes on Some Schizoid Mechanisms (1946)

  • 1947

    Herbert Rosenfeld developed by

    Rosenfeld's 1947 case was the first clinical paper to use Klein's newly named projective identification, and he later sorted its forms by motive: communicative projections the analyst can contain, as against evacuative and controlling ones aimed at denying separateness and dependence.

    In Analysis of a Schizophrenic State with Depersonalization (1947);Impasse and Interpretation: Therapeutic and Anti-Therapeutic Factors in the Psycho-Analytic Treatment of Psychotic, Borderline, and Neurotic Patients (1987)

  • 1957

    Hanna Segal developed by

    Segal used projective identification to account for disturbances of symbol formation in psychotic patients, and later, after Bion, separated its pathological form from its normal, communicative use.

    In Notes on Symbol Formation (1957)

  • 1959

    Wilfred Bion developed by

    Bion took Klein's projective identification beyond a phantasy of the patient to a form of communication: in its normal form the infant puts feelings into the mother so that she can bear and transform them.

    In Attacks on Linking (1959);Learning from Experience (1962)

  • 1975

    Otto F. Kernberg developed by

    Kernberg counted projective identification among the primitive defences of borderline patients, who put into others what they cannot bear in themselves while still feeling it and trying to control the other, and he used it to read their transferences.

    In Borderline Conditions and Pathological Narcissism (1975)

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  • 1979

    Thomas H. Ogden developed by

    Ogden described projective identification as at once an unconscious fantasy, a mode of communication, a primitive object relation and a pathway for psychological change. He set out three phases: a fantasy of putting part of oneself into another person; interpersonal pressure that leads the recipient to feel and act in line with it; and the recipient's processing of what was induced, which the projector can then take back in modified form.

    In On Projective Identification (1979);Projective Identification and Psychotherapeutic Technique (1982)

  • Undated

    Donald Meltzer developed by

    Meltzer explored projective identification from The Psycho-Analytical Process (1967), where it organises the 'gathering of the transference', to The Claustrum (1992), where he separates its intrusive, omnipotent form from communication.

    In The Claustrum: An Investigation of Claustrophobic Phenomena (1992);The Psycho-Analytical Process (1967)

Relations

introduced by

  • 1946 Melanie Klein
    In 'Notes on some schizoid mechanisms' (1946) Klein describes the infant's phantasy of expelling split-off parts of the self into the mother, so that the mother is identified with the hated parts of the self. The term 'projective identification' appears once in the 1946 paper; the sentence explicitly proposing it as a name for these processes was added in the revised version printed in Developments in Psycho-Analysis (1952).

derives from

  • 1946 Projection
    Projective identification grew out of Klein's account of projection. When split-off parts of the self are projected into the mother, she is felt to contain them and to be the bad (or good) self, and an identification follows that Klein takes as the prototype of aggressive object relations. She speaks of 'projective identification' in the same paper and gave the term its formal introduction in the 1952 revision.
  • 1946 Splitting
    In Klein's account projective identification presupposes splitting: what is projected into the object are parts of the ego that have first been split off, and she treats excessive splitting and projective identification together as what weakens the ego in the earliest position of infancy, which the 1946 paper calls paranoid or schizoid and which she later named paranoid-schizoid.

developed by

  • 1947 Herbert Rosenfeld
    Rosenfeld's 1947 case was the first clinical paper to use Klein's newly named projective identification, and he later sorted its forms by motive: communicative projections the analyst can contain, as against evacuative and controlling ones aimed at denying separateness and dependence.
  • 1957 Hanna Segal
    Segal used projective identification to account for disturbances of symbol formation in psychotic patients, and later, after Bion, separated its pathological form from its normal, communicative use.
  • 1959 Wilfred Bion
    Bion took Klein's projective identification beyond a phantasy of the patient to a form of communication: in its normal form the infant puts feelings into the mother so that she can bear and transform them.
  • 1975 Otto F. Kernberg
    Kernberg counted projective identification among the primitive defences of borderline patients, who put into others what they cannot bear in themselves while still feeling it and trying to control the other, and he used it to read their transferences.
  • 1979 Thomas H. Ogden
    Ogden described projective identification as at once an unconscious fantasy, a mode of communication, a primitive object relation and a pathway for psychological change. He set out three phases: a fantasy of putting part of oneself into another person; interpersonal pressure that leads the recipient to feel and act in line with it; and the recipient's processing of what was induced, which the projector can then take back in modified form.
  • Donald Meltzer
    Meltzer explored projective identification from The Psycho-Analytical Process (1967), where it organises the 'gathering of the transference', to The Claustrum (1992), where he separates its intrusive, omnipotent form from communication.

gave rise to

  • 1957 Symbolic equation
    Segal explains the symbolic equation by Klein's projective identification: when it is excessive, part of the ego is identified with the object, and the symbol, a creation of the ego, is then identified with the object it stands for.
  • 1964 Narcissistic object relations
    The omnipotent narcissistic object relation rests on projective and introjective identification: parts of the self are put into the object, and the object is taken in as if it were the self, so that no separate object is acknowledged.
  • 1994 Analytic third
    Ogden recast projective identification as a form of the analytic third, the subjugating third, in which the separate subjectivities of analyst and patient are partly subsumed and then reclaimed.
  • Psychotic transference
    In Rosenfeld's account the psychotic transference is carried by projective identification: the patient puts split-off parts of the self into the analyst, who is then experienced as those parts rather than as a separate person.

diverged into

  • Adhesive identification
    Projective identification needs an object with an inside to project into. Adhesive identification belongs to a two-dimensional world where there is no inner space, so the self sticks to the object's surface and imitates it instead of entering it.

Works

  • 1946

    Notes on Some Schizoid Mechanisms

    First published in the International Journal of Psycho-Analysis in 1946 and reprinted, revised, in Developments in Psycho-Analysis (1952), this paper is Melanie Klein's account of the months that precede the depressive position she had described in the 1930s. In this earliest phase the infant's anxiety is predominantly persecutory and its defences predominantly schizoid; Klein names it the paranoid position, adding the term schizoid, which she takes from Ronald Fairbairn, and from 1952 calls it the paranoid-schizoid position. She holds that an ego capable of anxiety, defence and object relations exists from birth but lacks cohesion, and that its primary anxiety is a fear of annihilation arising from the death instinct within, which it deflects outward and then meets as persecution. Its chief defence is splitting: the object, at first the breast, is divided into a good and a bad one, and since the ego cannot split the object without being split itself, the same division runs through the self, sustained by idealisation, denial and omnipotent phantasies of annihilating what is bad. Klein here describes projective identification, the phantasy of forcing split-off parts of the self into the mother in order to harm, possess and control her, so that she comes to be felt as those parts; good parts of the self are projected too, which is necessary for good object relations but, in excess, depletes the ego. The paper traces how these mechanisms colour schizoid object relations and the transference, with their detachment and splitting-off of feeling, and argues that when persecutory anxiety and splitting are too strong the depressive position cannot be worked through, so that the fixation points of schizophrenia lie in this first position and are bound up with those of manic-depressive illness. Klein discusses Fairbairn's work at length, accepting much of his account of schizoid phenomena while objecting to his neglect of anxiety, aggression and the death instinct.

    International Journal of Psycho-Analysis Copyright Life + 70 years In copyright The last author or translator died in 1960; protected through 2030.United States Status unknown Published in 1946; its copyright notice and renewal have not been checked.

  • 1947

    Analysis of a Schizophrenic State with Depersonalization

    Rosenfeld's first paper, drawn from his first training case at the British Psycho-Analytical Society, reports the analysis of an adult schizophrenic patient suffering from depersonalization, treated by interpretation alone, without changing the analytic setting. It is often described as the first adult psychotic case treated successfully by a purely interpretative psychoanalytic method. Drawing on Melanie Klein's newly published account of schizoid mechanisms, it was the first clinical paper to use her concept of projective identification. Rosenfeld traces the fragmentation of the patient's ego and the feeling of depersonalization to excessive splitting and to the projection of parts of the self into objects, and he describes the patient's psychotic transference to the analyst. The paper was reprinted in Psychotic States (1965) and again in Rosenfeld in Retrospect (2008).

    International Journal of Psycho-Analysis 28: 130–139 Copyright Life + 70 years In copyright The last author or translator died in 1986; protected through 2056.United States Status unknown Published in 1947; its copyright notice and renewal have not been checked.

  • 1952

    Developments in Psycho-Analysis

    A collection of papers by Melanie Klein, Paula Heimann, Susan Isaacs and Joan Riviere, edited by Riviere with a preface by Ernest Jones and published by the Hogarth Press in 1952. The publisher presents it as a survey of the advances in psychoanalytic knowledge that came from Klein's work, whose main discoveries concern the earliest phases of mental life. Its central thesis is that unconscious feeling and impulse, called phantasy, is the source of all human behaviour, however much it is changed on its way into outward action or conscious thought. On this account Freud first stated the idea but left problems open, and Klein's steady attention to unconscious phantasy brought them nearer to a solution. After a general introduction, the chapters treat psychical conflict in earliest infancy (Riviere), the nature and function of phantasy (Isaacs), introjection and projection in early infancy, regression (Heimann and Isaacs), the emotional life of the infant, the observation of young infants' behaviour, anxiety and guilt, schizoid mechanisms (Klein), and the life and death instincts. Several began as papers of the Controversial Discussions or in the International Journal of Psycho-Analysis. The book is addressed to students of psychoanalysis, workers in related medical fields, child psychologists and the informed lay public.

    London: Hogarth Press and the Institute of Psycho-Analysis (International Psycho-Analytical Library, no. 43); edited by Joan Riviere, with a preface by Ernest Jones Copyright Life + 70 years In copyright The last author or translator died in 1982; protected through 2052.United States Status unknown Published in 1952; its copyright notice and renewal have not been checked.

  • 1957

    Notes on Symbol Formation

  • 1959

    Attacks on Linking

    "Attacks on Linking" is a paper by Wilfred Bion, published in the International Journal of Psycho-Analysis in 1959 and reprinted in his collection Second Thoughts (1967). Drawing on the analyses of psychotic and severely borderline patients, it describes the destructive attacks that the psychotic part of the personality makes, in phantasy, on anything it feels to be a link between two objects. Bion takes as his prototype the infant's phantasied attacks on the breast as the link between itself and the mother, and extends the idea to the parental couple in intercourse, to the verbal communication between patient and analyst, and to the patient's own capacities for thought, emotion and perception. The paper proceeds through a series of clinical episodes. In one, a patient's stammer is understood as breaking up his words so that they cannot carry meaning between him and the analyst. In others, the patient's handling of the analyst's interpretations, and of the analytic pair working together, shows how any creative coupling, above all that of the parents, is felt as something to be split, emptied and destroyed out of envy and hatred. Because emotions themselves link one object to another, they too are attacked: the patient comes to hate emotion, reality and the mental apparatus that apprehends them. Bion places these attacks within Melanie Klein's paranoid-schizoid position and her account of splitting and projective identification, but adds a distinction of his own. Projective identification is not only a means of evacuating unwanted parts of the self. In its normal form it is the infant's earliest way of communicating, putting feelings it cannot bear, such as the fear that it is dying, into the mother, so that they can be modified there and taken back in a form it can tolerate. When the mother, and later the analyst, will not receive these projections, the infant resorts to projective identification with ever greater force and frequency, and its development deteriorates. Bion therefore traces attacks on linking to two sources together: an inborn disposition to destructiveness, hatred and envy, and an object that denies the patient the normal use of projective identification. The outcome is a primitive superego that forbids projective identification, and an internal object that intensifies the emotions it was needed to modify. The links that survive are logical, even mathematical, but never emotionally reasonable: they are perverse, cruel and sterile. The paper's account of a mind that cannot take in and transform experience prepares Bion's later theory of thinking and of container and contained.

    International Journal of Psycho-Analysis Copyright Life + 70 years In copyright The last author or translator died in 1979; protected through 2049.United States Status unknown Published in 1959; its copyright notice and renewal have not been checked.

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  • 1962

    Learning from Experience

    Learning from Experience, published in 1962, is the first of the short theoretical books in which Bion tried to give psychoanalysis an instrument for thinking about thinking. Drawing on his work with psychotic patients and on Freud's account of the two principles of mental functioning, he asks how a person comes to learn from emotional experience, and why some cannot. To keep his terms free of the associations of existing theory, he introduces signs deliberately empty of meaning, chief among them alpha-function, and treats the personality as a set of functions and their factors. Alpha-function works on sense impressions and emotional experiences and turns them into alpha-elements, which can be stored, used in dream thoughts and in unconscious waking thought, and remembered. What is not so transformed remains as beta-elements: undigested facts felt as things in themselves rather than as thoughts, fit only to be evacuated by projective identification or discharged in action. Alpha-elements cohere into a contact barrier that both separates and joins conscious and unconscious, so that one can be awake or asleep, aware or unaware; where alpha-function fails, a screen of beta-elements takes its place, and the person cannot properly dream, and so can neither fall asleep nor fully wake. The function develops in the infant through the mother's capacity for reverie: she takes in the states the infant projects into her, such as a fear of dying, and returns them in a form it can bear, and the infant introjects the function along with them; when she cannot, what returns to the infant is nameless dread. Thinking begins when an expectation meets frustration: an infant who can bear the absence forms a thought of it, while one who cannot treats the absence as a bad object to be got rid of. Bion describes the links between objects as love, hate and knowledge (L, H and K), and makes K — the painful activity of getting to know something, as distinct from possessing knowledge about it — the link on which learning from experience depends; its negative, minus K, strips experience of meaning and is driven by envy. In the later chapters he discusses how the analyst abstracts models from clinical experience and recognises a selected fact that gives coherence to the scattered material of a session, and he abstracts the mother–infant model into the relation of container and contained, which his later books develop.

    Copyright Life + 70 years In copyright The last author or translator died in 1979; protected through 2049.United States Status unknown Published in 1962; its copyright notice and renewal have not been checked.

  • 1964

    On the Psychopathology of Narcissism: A Clinical Approach

    Rosenfeld's first paper on narcissism, in which he recasts it in Kleinian terms. Where Freud had described narcissism as libido withdrawn from objects onto the ego, Rosenfeld describes the omnipotent object relations of narcissistic patients. Through omnipotent introjection the self claims the good qualities of the object as its own; through omnipotent projection it lodges its unwanted parts in the object, which is then kept devalued. The result is a grandiose idealization of the self. This structure defends against recognizing the separateness of the good object, which would arouse dependence, envy and destructive impulses, and anxieties of confusion, fragmentation and disintegration. In analysis it appears as a transference that discounts the value of the analyst's help. The paper was reprinted in Psychotic States (1965) and Rosenfeld in Retrospect (2008), and Otto Kernberg later named Rosenfeld's approach among those he drew on.

    International Journal of Psycho-Analysis 45: 332–337 Copyright Life + 70 years In copyright The last author or translator died in 1986; protected through 2056.United States Status unknown Published in 1964; its copyright notice and renewal have not been checked.

  • 1965

    Psychotic States: A Psycho-Analytical Approach

    Rosenfeld's first book collects the papers he wrote between 1946 and 1964, from his first case report of a schizophrenic patient with depersonalization (1947) to his clinical paper on the psychopathology of narcissism (1964). Together they apply Melanie Klein's account of early anxieties and defences, above all splitting and projective identification, to the analysis of schizophrenia and to hypochondriasis, drug addiction, depression and manic-depressive states. The book argues that psychotic patients can be treated by interpretation within the analytic setting, because they form a transference of their own, a transference psychosis marked by massive projection onto the analyst. It also contains his account of confusional states (1950) and his first statement on narcissistic object relations. It was published in London by the Hogarth Press and the Institute of Psycho-Analysis, and in New York by International Universities Press.

    London: Hogarth Press and the Institute of Psycho-Analysis; New York: International Universities Press Copyright Life + 70 years In copyright The last author or translator died in 1986; protected through 2056.United States Status unknown Published in 1965; its copyright notice and renewal have not been checked.

  • 1967

    The Psycho-Analytical Process

    Meltzer's first book describes what he called the natural history of a psychoanalysis, the characteristic order of phases through which an analysis moves. It is modelled on the analysis of children in the playroom and then extended to adults, and it draws on Klein's account of projective identification and the inner world. The process runs from the gathering of the transference, through the sorting out of geographical confusions between inside and outside, self and object, which massive projective identification produces, and then of zonal confusions, to the threshold of the depressive position and the weaning process. The book separates the pre-formed transference from the transference proper and shows how the cycle of the whole process recurs within a single session. A second part turns to the analyst's task: the process with adult patients, the analytic work and psychoanalysis as a human activity. Its present publisher sees in it the seeds of Meltzer's later model of the mind, including the aesthetic quality of the analytic process.

    London: Heinemann Medical, 1967; reissued Perthshire: Clunie Press Copyright Life + 70 years In copyright The last author or translator died in 2004; protected through 2074.United States Status unknown Published in 1967; its copyright notice and renewal have not been checked.

  • 1975

    Borderline Conditions and Pathological Narcissism

    Kernberg's first book gathers and reworks the papers he wrote in the late 1960s and early 1970s, largely out of his clinical and research work at the Menninger Foundation, into a single account of the patients who fall between the neuroses and the psychoses. Its first part argues that these patients have a borderline personality organization: a specific and stable structure, not a passing state on the way to psychosis. Behind a wide range of symptoms (diffuse anxiety, multiple phobias, perverse and impulsive trends, addictions, lower-level character disorders) Kernberg finds a common structure: nonspecific ego weakness, a pull toward primary-process thinking, primitive defences centred on splitting, and a pathology of internalized object relations that leaves the patient without an integrated identity, while reality testing is largely kept. He traces it to excessive early aggression, especially oral aggression, which prevents the loving and hating images of self and others from being brought together and draws pregenital conflicts into the oedipal ones. The book draws practical conclusions from this. It weighs the factors that make the prognosis better or worse, and sets out an expressive psychoanalytic psychotherapy for most of these patients: the primitive defences are confronted and interpreted as they emerge in the transference, the negative transference is taken up in the here and now, and acting out is limited, with the patient's life structured from outside when necessary. A chapter on countertransference argues for treating the analyst's whole emotional response as a source of knowledge about such patients. The second half turns to the narcissistic personality, which Kernberg sees as a special form of the same organization, its surface held steady by a pathological grandiose self that fuses the real self, the ideal self and the ideal object and wards off envy, rage and dependence. He distinguishes it from normal adult and normal infantile narcissism, describes its idealizing and devaluing transferences, recommends psychoanalysis proper with systematic interpretation of the grandiose self for those who do not function at an overt borderline level, and sets his views against Heinz Kohut's.

    New York: Jason Aronson Copyright Life + 70 years Status unknown Death year unknown for Otto F. Kernberg.United States Status unknown Published in 1975; its copyright notice and renewal have not been checked.

  • 1975

    Explorations in Autism: A Psycho-Analytical Study

    The report of a research group of child psychotherapists, led by Meltzer with John Bremner, Shirley Hoxter, Doreen Weddell and Isca Wittenberg, on the intensive analysis of four autistic children, Timmy, John, Barry and Piffie. Meltzer's theoretical chapters describe autism proper as a mindless state brought about by dismantling, a passive suspension of attention that lets the self come apart along the lines of the senses. Post-autistic states are marked by two-dimensional, surface-to-surface relating and by adhesive identification, Esther Bick's term, which first appeared in print in Meltzer's writings of this year. The cases also reveal a disturbed geography of the life-space, which the publisher calls the geography of the internal mother and which later shaped Meltzer's theory of the claustrum. A chapter on dimensionality in mental functioning ranks one-, two-, three- and four-dimensional ways of relating to objects, space and time; the publisher presents it as the first theory of dimensionality in psychoanalysis.

    Strath Tay, Perthshire: Clunie Press for the Roland Harris Educational Trust, 1975 Copyright Life + 70 years Status unknown Death year unknown for John Bremner, Shirley Hoxter, Doreen Weddell, and Isca Wittenberg.United States Status unknown Published in 1975; its copyright notice and renewal have not been checked.

  • 1979

    On Projective Identification

  • 1987

    Impasse and Interpretation: Therapeutic and Anti-Therapeutic Factors in the Psycho-Analytic Treatment of Psychotic, Borderline, and Neurotic Patients

    Rosenfeld's last book, published shortly after his death as the first volume of the New Library of Psychoanalysis, looks back on a lifetime of work with psychotic, borderline and neurotic patients and asks why some analyses succeed and others reach an impasse. Its four parts treat the analyst's own contribution to successful and unsuccessful treatment, the influence of narcissism on the analyst's task, the influence of projective identification on the analyst's task, and a conclusion. Rosenfeld argues that an impasse is not necessarily a sign of the patient's incurability: it can arise from the analyst's misunderstanding, and it can be worked through. He gives more weight than in his earlier work to the patient's real trauma, warns that rigid or misplaced interpretation can repeat that trauma in the analysis, and distinguishes thick-skinned from thin-skinned narcissistic patients. The book caused controversy among his colleagues; a reviewer in the British Journal of Medical Psychology judged it useful both to the author's critics and to those who followed his approach.

    London: Tavistock, New Library of Psychoanalysis 1 Copyright Life + 70 years In copyright The last author or translator died in 1986; protected through 2056.United States In copyright Published in 1987; protected through 2082.

  • 1992

    The Claustrum: An Investigation of Claustrophobic Phenomena

    Meltzer distinguishes intrusive identification, an omnipotent phantasy of forcing one's way into the internal mother to possess her qualities, from the communicative projective identification that Bion described. He maps the inner world that intrusion creates: the claustrum, divided into the compartments of the head-breast, the genital and the rectum, each with its own atmosphere, in which the intruder lives in claustrophobic dread of expulsion. He traces the claustrum's part in narcissism, perversion and addiction, psychosis and the onset of schizophrenia, adolescence and politics, and the technical problems of reaching patients who live inside it. The book closes with an essay by Meg Harris Williams on Macbeth. Its publisher presents it as a companion to The Apprehension of Beauty, and Rebeca Grinberg noted that it calls the identification intrusive, a matter of quality, rather than massive, a matter of quantity.

    Strath Tay, Perthshire: Clunie Press for the Roland Harris Trust (Roland Harris Trust Library 15), 1992; distributed by Karnac Books Copyright Life + 70 years In copyright The last author or translator died in 2004; protected through 2074.United States In copyright Published in 1992; protected through 2087.

  • 1994

    Subjects of Analysis

See also

References

  1. Notes on Some Schizoid Mechanisms1946
  2. Developments in Psycho-Analysis1952
  3. Analysis of a Schizophrenic State with Depersonalization1947
  4. Psychotic States: A Psycho-Analytical Approach1965
  5. On the Psychopathology of Narcissism: A Clinical Approach1964
  6. Impasse and Interpretation: Therapeutic and Anti-Therapeutic Factors in the Psycho-Analytic Treatment of Psychotic, Borderline, and Neurotic Patients1987
  7. Notes on Symbol Formation1957
  8. Attacks on Linking1959
  9. Learning from Experience1962
  10. The Psycho-Analytical Process1967
  11. The Claustrum: An Investigation of Claustrophobic Phenomena1992
  12. Explorations in Autism: A Psycho-Analytical Study1975
  13. Borderline Conditions and Pathological Narcissism1975
  14. On Projective Identification1979
  15. Projective Identification and Psychotherapeutic Technique1982
  16. Subjects of Analysis1994
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