Citation

Selow E. Int. J. Psychoanal. 2006; 87(Pt 6): 1629-1647.

Affiliation

selow@t-online.de

Copyright

(Copyright © 2006, Institute of Psychoanalysis, Publisher John Wiley and Sons)

DOI

unavailable

PMID

17130086

Abstract

The author investigates the meaning of concrete objects in the psychoanalytic treatment of a severely disturbed patient for the development of his inner world and the analytic process. She includes a survey of relevant theoretical concepts with an emphasis on Winnicott and Bion. It is shown that the objects served basic defensive functions both within the analytic relationship and for the precarious intrapsychic state of the patient. The author describes the technical dealing that led to a structural change. From the comparison of the initial dream and a later dream, Mr N's inner development from total inclusion in the object to triadic reality of separated, repaired objects becomes discernible. The author shows how this progress was facilitated by his use of concrete objects as links between his psychotic and non-psychotic parts, as well as by the specific way the analyst handled the paradoxical transference- countertransference. She also illustrates the thesis that the developmental steps described are crucial for the capability to digest psychic pain by symbolization instead of discharging it in a destructive-violent way.

Language: en