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neurotic states
the reality of interpersonal relations is substituted by the psychic reality of childhood object relations
hysteria
obsessional thoughts
phobia
psychotic states
the individual’s connection with external reality weakens or collapses, the patient becomes preoccupied with internal sensations, fantasies, and bodily experiences.
Because the capacity to compare fantasy with actual perception breaks down, primary-process thinking gains dominance, leading to hallucinations, delusional beliefs, and communication failures. Ultimately, the external world is not simply misinterpreted but replaced by the individual’s internal reality
there is no investment of analytic relationships: psychosis (narcissistic neuroses) is not accessible to treatment
the self becomes the target of libidinal investments
paranoid psychosis, paraphrenia, hypochondria, and megalomaniac delusions
represent conditions in which internal reality overwhelms the capacity for reality testing
dominance of primary-process thinking
thoughts and fantasies are treated as equivalent to external events → omnipotence, magical thinking
collapse of boundaries between inner states and outer perception
delusional states
the Ego Pleasure is stronger than Reality Ego
primary narcissism
the infant’s natural, early state where all psychic energy is invested in the self
secondary narcissism
a later regression to that state, often seen in psychosis, where libido is withdrawn from reality and reinvested in the self
normal regression to aspects of primary narcissism
non-pathological states such as illness, sleep, old age, mass ideological identification, and falling in love
is temporary
attention and psychic energy is turned inward without loss of reality testing
self-absorption - development
a normal developmental phase in which the infant’s attention and libido are focused on the self, forming the foundation for ego structure.
transfer of omnipotence
the child shifts their original sense of personal omnipotence onto the rescuing/soothing parent, who becomes experienced as perfect and all-powerful
Ego Ideal
the internalized, idealized image of the parent that allows the child to regain a transformed version of their original omnipotence, becoming a guiding standard within the self
Unified Libido Theory
the same psychic energy that builds and supports the Ego (narcissistic libido) also fuels investment in relationships (object libido), meaning there is no inherent conflict between self-development and object love
→ invalidates the classical dualistic drive theory
the death drive
finał aim: reinstate a condition of no tension
in psychic life: disintegrating any possible source of unity, desire, love, civilization → and promotes aggression and destructiveness
the nirvana principle (inertia principle)
the psyche is driven toward a state of absolute tensionlessness, seeking the complete quietude and inertia of an inorganic, non-stimulated condition
the life drive
pushes the organism to reach wider units, love relationships and to erect the building of civilization that ultimately serve the purposes of survival and continuation of life
psychotic or severely obsessional children - playing habits
these children compulsively enact scenes where opposite emotions (love/hate) are represented by separate fictional characters who never show mixed feelings but appear in rigid, alternating roles
Therapist Role Induction
the therapist is pulled into enacting these extreme characters, feeling pressured to behave like the projected persecutor, rescuer, or victim
the derivative of primitive developmental viccissitudes
highly unstable internal world populated by persecutors and idealized objects
impact of internal objects on relationships
shape early object-relations and prevent the individual from realistically perceiving the actual qualities of interactions and of other people
projection
the individual attributes primitive internal objects to people in the external world, transforming them into persecutors or idealized–omnipotent figures
introjection
the individual takes in and assimilates the qualities of these projected figures, forming internal persecutory or idealized objects that constitute the primitive superego
the psychotic states
the result of the fixation to primitive stages of development
impossibility to integrate opposite emotional experiences
anguish of death (external and internal persecutors/idealized figures
lack of the sense of reality of the actual relationships beyond the internal world