Mixed anaclitic-introjective psychopathology in treatment-resistant inpatients undergoing psychoanalytic psychotherapy. Academic Article uri icon

abstract

  • Utilizing data from the Riggs-Yale Project, 45 male and 45 female 18–29-year-old treatment-resistant inpatients undergoing intensive psychoanalytically ori-ented treatment were studied. Twenty-seven mixed-type anaclitic–introjectiveinpatients were compared with 29 “pure” anaclitic and 34 “pure” introjectiveinpatients. At intake, mixed-type inpatients were more clinically impaired (i.e.,were more symptomatic, cognitively impaired, and thought disordered) andmore vulnerable (i.e., less accurate object representations and more frequentlyused maladaptive defense mechanisms) in comparison with clearly defined ana-clitic and introjective patients. Mixed-type patients, however, improved signifi-cantly more in the course of psychoanalytically oriented treatment, in terms ofclinical functioning (i.e., symptoms, cognitive functioning) and psychologicalvulnerability (i.e., utilization of more adaptive defense mechanisms).Interpersonal relatedness and self-definition are two fundamental themes in many psy-choanalytic and nonanalytic personality theories. In “Civilization and Its Discontents,” forexample, Freud (1930/1961a) contrasted “the man who is predominantly erotic [and gives]first preference to his emotional relationships of other people” with “the narcissistic man,

publication date

  • January 1, 2003