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Concept

Splitting

Also known as Spaltung

Splitting is the keeping apart of contradictory images of the self or of an object, so that one is experienced as wholly good and the other as wholly bad. It is counted among the mechanisms of defence, and the word has carried several distinct meanings in psychoanalysis. Late in his work Sigmund Freud described a splitting of the ego in which two contrary attitudes toward reality persist side by side. Melanie Klein first described the child's splitting of its super-ego into separate good and threatening figures in 1929. By 1946 she had made the splitting of the object, the breast first, into a good and a bad one the central defence of the earliest months of life, the paranoid-schizoid position.

Ronald Fairbairn made the splitting of the ego, together with the splitting of the internalised object, the universal basis of mental structure. Otto Kernberg made the active separation of all-good and all-bad images the defining defence of borderline personality organization. A family of later Kleinian concepts is defined by reference to splitting: projective identification, confusional states, attacks on linking and dismantling.

Origins

In 1893 Breuer and Freud described a splitting of consciousness in every case of hysteria. Freud soon explained such divisions dynamically, as the outcome of a conflict kept in place by repression, and that line of thought is now treated under dissociation.

Freud returned to the word in a different sense at the end of his life. In a fragment written in 1938 and published after his death as "Die Ichspaltung im Abwehrvorgang" (The Splitting of the Ego in the Process of Defence), he described a child whose ego serves a powerful drive demand it is used to satisfying. The child comes to learn that continuing the satisfaction would bring a real danger that is hard to bear. Faced with this conflict between the claim of the drive and the objection of reality, the child, Freud wrote, does neither one thing nor the other, or rather does both at once. On one side it rejects reality and lets nothing be forbidden it; on the other, "im gleichen Atem" (in the same breath), it recognises the danger and takes on the fear of it as a symptom. Freud noted dryly that only death comes free. The success is bought "auf Kosten eines Einrisses im Ich", at the cost of a rift in the ego that never heals and grows with time.

His example was the boy who creates a fetish as a substitute for the woman's missing penis. The boy has disavowed reality, but he has saved his own penis. Freud drew the lesson that the synthetic function of the ego, which is usually taken for granted, has conditions of its own and can be disturbed. This Freudian splitting, a coexistence of acceptance and disavowal of reality, is a different idea from the splitting of objects that Klein later developed. Rado's description of a good and a bad mother-imago in 1928 is counted among the precursors of hers.

Klein's own first account appears in Personification in the Play of Children[1] (1929). However many characters a child invents in play, she argued, they reduce to a few roles: a persecuting super-ego, a threatened but itself cruel id or ego, and a helper such as the "fairy mamma" who takes the child's side. Personification rests on splitting the super-ego into the identifications introjected at different stages of development and then projecting these figures into the outside world. Splitting and projection spare the ego the strain of holding together a single, tyrannical super-ego, and they let the internal conflict be moved into the external world. The easing of anxiety that results is, for Klein, a main driving force of the transference. The more extreme and sharply opposed the imagos, the poorer their eventual synthesis.

Definition

Klein's mature definition is set out in Notes on Some Schizoid Mechanisms[2] (1946). She held that an ego able to feel anxiety, use defences and form object relations exists from birth, but that it lacks cohesion and swings between integration and falling into pieces. Its primary anxiety is the fear of annihilation, which Klein derived from the death drive working within. Deflected outward, that fear returns as fear of persecutors (see persecutory anxiety).

Against this anxiety the chief defence is splitting. The breast is divided into a good, idealised object and a bad, persecuting one. Because the ego cannot split its object without being split itself, the same division runs through the self. Idealisation, denial and omnipotent phantasies of annihilating what is bad hold the split in place. Klein called this earliest phase the paranoid position, adding the term schizoid, which she took from Fairbairn; from 1952 she called it the paranoid-schizoid position. The "schizoid" in the name refers to this splitting of object and ego.

Klein did not regard splitting as pathological in itself. Held within bounds, it lets the infant keep good and bad experience apart, and it is the forerunner of the later mechanism of repression. The introjection of a good object, in the first place the good breast, forms a focal point in the ego that counteracts splitting and dispersal and makes integration possible.

When persecutory anxiety and splitting are too strong, the depressive position, in which the good and bad aspects of the object are brought together, cannot be worked through. Klein located the fixation points of schizophrenia in this first position.

The same paper introduced projective identification, which presupposes splitting. What the infant forces in phantasy into the mother are parts of the self that have first been split off. Klein treated excessive splitting and projective identification together as what weakens the ego in the earliest position.

Development

Fairbairn gave splitting a structural role. In Endopsychic Structure Considered in Terms of Object-Relationships[3] (1944) he traced the basic situation of the mind to the infant's frustration by its mother. The infant splits her into good and bad and internalises the unsatisfying object in order to control it. It then splits that object into a tempting side and a rejecting side and represses both, and the parts of the ego still attached to each are split off with them. The result is a central ego that represses two subsidiary egos: a libidinal ego bound to a needed or exciting object, and an internal saboteur, later the antilibidinal ego, bound to a rejecting object (see endopsychic structure and libidinal ego).

For Fairbairn the splitting of the ego and repression are one process, and its dynamic is aggression. Expressing hatred risks losing the good object, and expressing love to a rejecting mother risks humiliation. So the child turns a maximum of aggression against a maximum of libidinal need, a technique he called divide et impera. He read the dissociations of hysteria as splits of the ego and placed the schizoid position at the centre of psychopathology. His collected Psychoanalytic Studies of the Personality[4] (1952) adds the moral defence, in which the child takes the bad aspects of its parents into itself so that the outer world can remain good.

Herbert Rosenfeld defined a pathology by the failure of splitting. In Notes on the Psychopathology of Confusional States in Chronic Schizophrenias[5] (1950) he described confusional states as the outcome of a breakdown in the normal, structuring split between good and bad objects, and between the loving and hating parts of the self. When the split fails, love and hatred become mixed, and the patient fears that destructive impulses will overwhelm loving ones. Where envy predominates, the good object itself is attacked, so that good and bad can no longer be told apart. Rosenfeld placed confusion between splitting and integration. Klein took up the idea in Envy and Gratitude[6] (1957).

Wilfred Bion, working within Klein's account of the paranoid-schizoid position, carried splitting further in Attacks on Linking[7] (1959). What the psychotic part of the personality splits, empties and destroys is not only the object but whatever it feels to be a link between two objects. That link may be the breast between infant and mother, the parents in intercourse, the words between patient and analyst, or finally the patient's own capacities for thought, emotion and perception. Because emotions themselves link one object to another, they too come under attack.

Donald Meltzer distinguished a neighbouring process. In Explorations in Autism[8] (1975) he described dismantling, in which attention lapses and the self comes apart along the lines of the senses. Like splitting it breaks experience apart, but it is passive rather than sadistic, and the senses come together again easily once attention returns.

Kernberg brought splitting into the diagnosis of personality disorders. In Borderline Personality Organization[9] (1967) he argued that borderline patients do not occupy an unstable zone between neurosis and psychosis. Instead they share a specific and stable pathological organisation, whose central defence is splitting. Contradictory ego states and introjections are actively kept apart so that aggression does not contaminate the good images. Splitting is supported by primitive idealisation, projective identification, denial, and omnipotence with devaluation, and it feeds ego weakness in a vicious circle. Kernberg traced the organisation to excessive pregenital, especially oral, aggression, and linked the resulting failure to integrate images of self and others to identity diffusion. The paper joined Klein's ideas on splitting and projective identification to Edith Jacobson's ego psychology of self and object representations.

In Borderline Conditions and Pathological Narcissism[10] (1975) Kernberg described the split material as units of self-image, object-image and affect. In borderline patients, early aggression prevents the loving and hating images of self and others from being brought together.

Clinical use

Klein's 1929 paper already drew a technical lesson from splitting. The analyst must accept whatever role the child assigns, the hostile ones included, and must prefer none, whether the role is given openly in play or hidden in the negative transference. As interpretation relieves anxiety, the figures in play change from bad mother to good, and the frightening imagos give way to milder, more realistic identifications. In the 1946 paper she described patients who split off feelings and parts of the self, so that interpretations seem to leave them untouched. Bringing the split-off parts together brings anxiety and depression to the surface.

For Fairbairn the aim of therapy was to narrow the split in the ego and to reduce the attachments and the aggression held within it, releasing bad objects from the unconscious through the relationship with the analyst.

Kernberg's 1975 book set out an expressive psychoanalytic psychotherapy for most borderline patients. In it the primitive defences, splitting first among them, are confronted and interpreted as they emerge in the transference, and the negative transference is taken up in the here and now. The approach was later manualised as transference-focused psychotherapy. In Psychotherapy for Borderline Personality[11] (1999), John Clarkin, Frank Yeomans and Kernberg describe the borderline patient's inner world as split into polarised, affect-laden pairs of self and other representations, such as idealised and persecutory or victim and destroyer. These pairs are enacted with the therapist, who is drawn into shifting roles. The therapist names the dominant pair, clarifies, confronts and interprets it, and uses the countertransference as information. The aim is to integrate split-off parts of the self, so that the patient comes to experience self and others as whole people.

Reception and criticism

The authors who developed the concept disagreed about what splitting is and where it stands in relation to repression. For Klein, moderate splitting is a normal developmental achievement and the forerunner of repression. For Fairbairn, splitting of the ego and repression are a single process. For Kernberg, splitting and repression mark different levels of organisation: splitting predominates in borderline organisation and repression in neurotic organisation.

The disagreement between Klein and Fairbairn went further. In his 1944 paper Fairbairn held that both Freud's structural theory and Klein's depressive position had been built on melancholia, and he set the schizoid position, with its splits, at the centre instead. In the 1946 paper Klein accepted much of Fairbairn's account of schizoid phenomena but objected to his neglect of anxiety, aggression and the death instinct.

Others marked the limits of the concept by defining processes against it. Rosenfeld's confusional states describe what happens when splitting fails, and Meltzer's dismantling describes a division of experience that is passive rather than defensive in Klein's sense. Freud's late splitting of the ego remains a separate notion, concerned with the coexistence of acknowledgement and disavowal of reality rather than with good and bad objects.

Projective identification presupposes splitting, since what it projects are split-off parts of the self. The paranoid-schizoid position is the developmental setting Klein built on splitting, and the depressive position is the one in which its divisions are brought together. Idealisation sustains the good side of the split, and persecutory anxiety attaches to the bad side.

Confusional states, attacks on linking and dismantling are later concepts defined in relation to it. In object-relations theory, splitting shapes the internal objects and the endopsychic structure that Fairbairn described. In the diagnosis of personality, it is central to borderline personality organization and its identity diffusion. The older notion of a splitting of consciousness is treated under dissociation.

Development

  • 1929

    Melanie Klein introduced by

    In 1929 Klein first describes the child splitting its super-ego and imagos into separate good and threatening figures, which it projects into the roles of its play. From 1935 to 1946 she makes this the splitting of the object, the breast first, into good and bad. Her precursors are Rado's good and bad mother-imago (1928) and Freud's splitting of the ego (1927, 1938), which is a different idea.

    In Personification in the Play of Children (1929)

  • 1946

    Melanie Klein developed by

    In 1946 Klein makes splitting the central defence of the earliest, paranoid-schizoid position. The breast is divided into an idealised good object and a persecuting bad one, and since the ego cannot split its object without splitting itself, the division runs through the self too.

    In Notes on Some Schizoid Mechanisms (1946)

  • 1967

    Otto F. Kernberg developed by

    Kernberg made splitting, the active keeping apart of all-good and all-bad images of self and others, the central defence of borderline organization, and tied it to a failure to integrate early object relations.

    In Borderline Conditions and Pathological Narcissism (1975);Borderline Personality Organization (1967)

  • Undated

    Ronald Fairbairn developed by

    Fairbairn made the splitting of the ego, together with the splitting of the internalised object, the universal basis of mental structure.

    In Endopsychic Structure Considered in Terms of Object-Relationships (1944);Psychoanalytic Studies of the Personality (1952)

Relations

introduced by

  • 1929 Melanie Klein
    In 1929 Klein first describes the child splitting its super-ego and imagos into separate good and threatening figures, which it projects into the roles of its play. From 1935 to 1946 she makes this the splitting of the object, the breast first, into good and bad. Her precursors are Rado's good and bad mother-imago (1928) and Freud's splitting of the ego (1927, 1938), which is a different idea.

gave rise to

  • 1946 Projective identification
    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.
  • 1946 Paranoid-schizoid position
    Klein built the earliest position on splitting. The schizoid in its name refers to splitting of the object and the ego, the defence against persecutory anxiety by which the infant keeps the good breast apart from the bad.
  • 1950 Confusional states
    Confusional states are defined against Klein's splitting: they arise when the primary split between good and bad objects, and between loving and hating parts of the self, fails or breaks down, so that the two cannot be told apart.
  • 1959 Attacks on linking
    Bion works within Klein's account of the paranoid-schizoid position. The attack on links carries her splitting further: what is split, emptied and destroyed is not only the object but the connection between two objects, and in the end between one thought and another.
  • Borderline personality organization
    The concept rests on the Kleinian notion of splitting: Kernberg made the predominance of splitting and related primitive defences the second defining feature of borderline organization.

developed by

  • 1946 Melanie Klein
    In 1946 Klein makes splitting the central defence of the earliest, paranoid-schizoid position. The breast is divided into an idealised good object and a persecuting bad one, and since the ego cannot split its object without splitting itself, the division runs through the self too.
  • 1967 Otto F. Kernberg
    Kernberg made splitting, the active keeping apart of all-good and all-bad images of self and others, the central defence of borderline organization, and tied it to a failure to integrate early object relations.
  • Ronald Fairbairn
    Fairbairn made the splitting of the ego, together with the splitting of the internalised object, the universal basis of mental structure.

diverged into

  • Dismantling
    Like splitting, dismantling breaks experience apart, but it is passive rather than sadistic: attention simply lapses so the senses drift to separate objects, and they come together again easily once attention returns.

Works

  • 1929

    Personification in the Play of Children

    In this 1929 paper in the International Journal of Psycho-Analysis, Klein takes up a mechanism she had pointed to in earlier work: in play, children invent characters and allot them roles. She draws on the analyses of Erna (6), George (6), Rita (2¾) and several other children. However varied the figures are, she shows, they come down to a few roles: the persecuting super-ego, the threatened but itself cruel id or ego, and a helpful figure, such as a 'fairy mamma', who takes the child's side. She explains personification in two steps. The super-ego is split into the identifications introjected at successive stages of development, and these figures are then projected outward. The earliest super-ego is formed on a pregenital pattern and consists of fantastic imagos that devour and cut to pieces. Kinder imagos, rooted in the oral-sucking stage, open the way to genital primacy and to figures closer to the real parents. Splitting and projection spare the ego the strain of holding a unified, tyrannical super-ego together and keeping its truce with the id. The conflict within the psyche can then be moved into the external world, and this easing of anxiety is a main driving force of the transference. Klein then compares how normal, neurotic, paranoiac and schizophrenic children relate to reality. Schizophrenic children cannot truly play, because their projection fails. Paranoiac children subordinate reality to phantasy and personify richly, but mostly as persecutor and persecuted. Normal children keep a better balance between phantasy and reality. She concludes that the dominance of a terrifying super-ego, introjected in the earliest stages of ego development, is a fundamental factor in the genesis of psychosis. Her lesson for technique is that the analyst must take on whatever roles the child assigns, the hostile ones included, without preferring any. Those roles may be given openly in play or hidden in the negative transference. In this way the frightening imagos can be analysed and give way to milder, more realistic identifications. Play technique thus opens childhood psychoses to diagnosis and cure.

    International Journal of Psycho-Analysis Copyright Life + 70 years In copyright The last author or translator died in 1960; protected through 2030.United States Public domain Published in 1929; public domain since 2025.

  • 1944

    Endopsychic Structure Considered in Terms of Object-Relationships

    Fairbairn's main structural paper, published in the International Journal of Psycho-Analysis (vol. 25, 1944, pp. 70–93), turns two of his earlier claims into a new model of the mind. The first claim, from 1941, is that libido seeks objects rather than pleasure. The second, from 1943, is that repression is aimed at internalized bad objects. He begins with the limits of 'impulse psychology'. Impulses, he argues, are only the dynamic side of ego structures and cannot be considered apart from them or from the object relations they serve. When interpretation deals in impulses alone, schizoid patients can produce rich fantasy material without end while the central ego merely watches the drama of inner reality from the dress circle. The id therefore merges into an ego that is a source of energy from the start and is oriented to reality from birth. The pleasure principle becomes a secondary principle that takes over when relations with objects fail. Since one part of the ego can repress another, repression implies a multiplicity of egos. Fairbairn holds that Freud's structural theory, and Klein's depressive position, were built on melancholia. Against them he puts the schizoid position at the centre and calls for a return to hysteria, whose dissociations he reads as splits of the ego. Guilt and the super-ego he places at a later level, established by the 'moral defence', above a deeper level of amoral bad objects. The model comes from a patient's dream. In it an actress, standing for both the dreamer and her rejecting mother, attacks a figure of the dreamer that turns into a man linked to her husband and her father, while the husband looks on helplessly. Fairbairn reads dreams as 'shorts' of situations in inner reality rather than as wish-fulfilments, and he finds in this one the basic endopsychic situation. A central ego, partly conscious, rejects and represses two subsidiary egos with aggression: a libidinal ego bound to a 'needed object', and an 'internal saboteur' bound to a 'rejecting object'. The internal saboteur, in turn, attacks the libidinal ego and its object. The central ego roughly corresponds to Freud's ego, but it is primary and dynamic. The libidinal ego corresponds to the id, but it is a structure derived from the central ego. The internal saboteur is an amoral ego structure that produces anxiety rather than guilt; the super-ego corresponds rather to the saboteur together with its object. The situation arises in infancy out of frustration by the mother. The infant splits her into good and bad, internalizes the unsatisfying object in order to control it, splits that object into a tempting side and a rejecting side, and represses both. The parts of the ego still attached to each are split off with them. Expressing hatred risks losing the good object, and expressing love to a rejecting mother risks humiliation, emptiness and loss of the self. So the child turns a maximum of aggression against a maximum of libidinal need, a technique Fairbairn calls 'divide et impera'. From this he draws several revisions. Splitting of the ego and repression are one process, and its dynamic is aggression. The attack of the internal saboteur is an 'indirect repression', the part of the process that Freud described. The libidinal ego's attachment to its repressed object is a resistance in its own right, which helps explain the negative therapeutic reaction. The Oedipus situation is an internal end-product, not an ultimate cause: the child simplifies two ambivalent parents into one needed parent and one rejecting parent, and both internal objects are at bottom figures of the mother. Neurotic anxiety and hysterical suffering are libido that the internal saboteur's attack has changed in quality. Fairbairn traces Freud's separation of energy from structure to Helmholtzian physics, and offers instead a psychology of dynamic structure: five structures and two forms of energy, libido and aggression. In this psychology, therapy aims to narrow the split and to reduce the attachments and the aggression within it. Every clinical state has its own endopsychic pattern, and the basic pattern is hysterical, though the process that produces it is schizoid. At the end he grants internal objects some dynamism of their own. In later versions of the theory the needed object is called the 'exciting object', and Fairbairn later renamed the internal saboteur the 'antilibidinal ego'.

    International Journal of Psycho-Analysis Copyright Life + 70 years In copyright The last author or translator died in 1964; protected through 2034.United States Status unknown Published in 1944; its copyright notice and renewal have not been checked.

  • 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.

  • 1950

    Notes on the Psychopathology of Confusional States in Chronic Schizophrenias

    A short paper on chronic schizophrenia in which Rosenfeld describes confusional states as the outcome of a failure of the normal, structuring split between good and bad objects, and between the loving and hating parts of the self. When that split breaks down, love and hatred become mixed, and the patient fears that the destructive impulses will overwhelm the loving ones and destroy the good self and the good object. Where envy predominates, the good object itself is attacked, so that good and bad can no longer be told apart and the confusion becomes unbearable. Rosenfeld places confusion between splitting and integration, and finds such difficulties in separating good from bad, to a lesser degree, in less disturbed patients too. Klein took up the idea in Envy and Gratitude (1957); the paper was reprinted in Psychotic States (1965).

    International Journal of Psycho-Analysis 31: 132–137 Copyright Life + 70 years In copyright The last author or translator died in 1986; protected through 2056.United States Status unknown Published in 1950; its copyright notice and renewal have not been checked.

  • 1952

    Psychoanalytic Studies of the Personality

    Psychoanalytic Studies of the Personality is W. R. D. Fairbairn's only book. It gathers papers written in Edinburgh between 1927 and 1951, and its core, a series of papers from 1940 to 1946, sets out a systematic revision of Freud's theory in which the personality is understood through its relationships with objects rather than through the vicissitudes of instinctual impulses. Fairbairn's starting point is that libido is primarily object-seeking, not pleasure-seeking: the erotogenic zones are channels through which the person reaches for objects, and pleasure is a signpost to the object rather than the aim. On this basis he replaces Abraham's scheme of libidinal phases with a development from infantile dependence, grounded in primary identification with the mother, through a transitional stage to mature dependence, in which a differentiated person relates to others recognised as separate. Fairbairn holds that the schizoid position, in which the infant comes to feel that its own love is destructive, is more fundamental than the depressive position, where the danger lies in hate, and that it underlies all later psychopathology. Unable to bear dependence on parents who frustrate it, the child takes their bad aspects into itself so that the outer world can remain good, a step he calls the moral defence; repression is directed first at these internalized bad objects. The obsessional, paranoid, hysterical and phobic states are four techniques of the transitional stage for managing accepted and rejected internal objects. In the 1944 paper on endopsychic structure he replaces id, ego and superego with a model of a split ego: a central ego related to an ideal object, a libidinal ego bound to an exciting object, and an internal saboteur, later called the antilibidinal ego, bound to a rejecting object, the whole held in place by the central ego's repression and the saboteur's attacks on the libidinal ego. The later papers argue that energy cannot be separated from structure, that aggression is a reaction to frustration rather than an independent drive, and that treatment aims to release bad objects from the unconscious and to lessen the splitting of the ego through the relationship with the analyst. Earlier clinical papers and occasional pieces on social and wartime questions complete the volume. Published in the United States as An Object-Relations Theory of the Personality, it became one of the founding texts of the British object-relations school.

    Copyright Life + 70 years In copyright The last author or translator died in 1964; protected through 2034.United States Status unknown Published in 1952; its copyright notice and renewal have not been checked.

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  • 1957

    Envy and Gratitude

    Klein's last major theoretical work, expanded from the paper "A Study of Envy and Gratitude" that she read at the International Psychoanalytical Congress in Geneva in July 1955. It sets out her theory of primary envy of the good, feeding breast, distinguishes envy from greed, and pairs it with gratitude as an expression of the life instinct.

    Copyright Life + 70 years In copyright The last author or translator died in 1960; protected through 2030.United States Status unknown Published in 1957; its copyright notice and renewal have not been checked.

  • 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.

  • 1967

    Borderline Personality Organization

    In this paper Otto Kernberg argues that the patients loosely called "borderline" do not occupy an unstable zone between neurosis and psychosis but share a specific and remarkably stable pathological organization of the personality, which he names borderline personality organization. He examines it from three angles. Descriptively, he lists symptoms that should raise the suspicion of it: chronic diffuse anxiety, polysymptomatic neuroses, polymorphous perverse sexual trends, prepsychotic (paranoid, schizoid, hypomanic) personalities, impulse neuroses and addictions, and lower-level character disorders such as the infantile, narcissistic, "as if" and antisocial personalities. He insists, however, that no symptom is decisive. The diagnosis is made structurally, from nonspecific ego weakness, a shift toward primary-process thinking seen mainly in unstructured psychological testing, a characteristic constellation of primitive defenses centred on splitting, and a pathology of internalized object relations in which good and bad images of the self and of others remain unintegrated, while reality testing is largely preserved. Genetically and dynamically, he traces the organization to an excess of pregenital, especially oral, aggression, constitutional or the result of early frustration, which drives a premature and distorted oedipal development. By joining Melanie Klein's ideas on splitting and projective identification to Edith Jacobson's ego psychology of self and object representations, the paper became the founding statement of Kernberg's structural approach to borderline and narcissistic pathology and the ground of his later work on its treatment.

    Journal of the American Psychoanalytic Association 15(3): 641–685 Copyright Life + 70 years Status unknown Death year unknown for Otto F. Kernberg.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.

  • 1999

    Psychotherapy for Borderline Personality

    Psychotherapy for Borderline Personality (New York: Wiley, 1999) is the first full treatment manual of transference-focused psychotherapy (TFP), written by John F. Clarkin, Frank E. Yeomans and Otto F. Kernberg at the Personality Disorders Institute of Weill Cornell. It turns the expressive psychoanalytic psychotherapy that Kernberg had described for patients with borderline personality organization into a manualized, teachable treatment, held twice weekly within a firm frame. Its premise is object-relational: the borderline patient's inner world is split into polarized, affect-laden pairs of self and other representations, idealized and persecutory, victim and destroyer. In the relationship with the therapist these pairs are enacted, and the therapist is drawn into shifting roles. The book is in three parts. The first sets out the ingredients of the treatment: its theory, its overarching goals, the strategies that prevail over weeks and months, the tactics of each session, and the techniques by which they are carried out. The second follows the phases of treatment: assessment and the negotiation of a treatment contract, early tests of the frame and the containment of impulsive and self-destructive acting out, a middle phase of growing integration interrupted by regressions, and an advanced phase leading to termination. The third deals with special problems such as crises, suicidal and parasuicidal behaviour, hospitalization and medication. Throughout, the authors teach the therapist to identify and name the dominant object-relational dyad in the here-and-now, to clarify, confront and interpret it from a stance of technical neutrality, and to use the countertransference as information. The aim is not only to reduce symptoms but to integrate split-off parts of the self, so that the patient comes to experience self and others as whole, complex people. Verbatim clinical vignettes illustrate each step. The manual underlay the randomized trials of TFP that followed, was translated into German in 2001, and was revised in 2006 as Psychotherapy for Borderline Personality: Focusing on Object Relations.

    New York: John Wiley & Sons Copyright Life + 70 years Status unknown Death year unknown for John F. Clarkin, Frank E. Yeomans, and Otto F. Kernberg.United States In copyright Published in 1999; protected through 2094.

  • 2005

    Linking, Attacks on

See also

References

  1. Personification in the Play of Children1929
  2. Notes on Some Schizoid Mechanisms1946
  3. Endopsychic Structure Considered in Terms of Object-Relationships1944
  4. Psychoanalytic Studies of the Personality1952
  5. Notes on the Psychopathology of Confusional States in Chronic Schizophrenias1950
  6. Envy and Gratitude1957
  7. Attacks on Linking1959
  8. Explorations in Autism: A Psycho-Analytical Study1975
  9. Borderline Personality Organization1967
  10. Borderline Conditions and Pathological Narcissism1975
  11. Psychotherapy for Borderline Personality1999
  12. Linking, Attacks on2005 Evidence for a relation
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