Bargains, Treaties, and Delusions
Bibliographic Data
| ID | 20325960 |
|---|---|
| Authors | Robert Waska (San Francisco Center for Psychoanalysis, corresponding author), Robert T Waska (Advanced Candidate at the San Francisco Institute for Psychoanalytic Psychotherapy and Psychoanalysis; Private Practice in San Francisco and Marin County.) |
| Year | 1999 |
| Volume | 27 |
| Issue | 3 |
| Pages | 451-469 |
| Publication date | 1999-09-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of the American Academy of Psychoanalysis (JOURNAL) |
| Journal identifiers | ISSN: 0090-3604 • E-ISSN: 1943-2860 |
| Publisher | Guilford Publications (PUBLISHER • US) |
| DOI | 10.1521/jaap.1.1999.27.3.451 |
| PMID | 10615642 |
| OpenAlex | W2418270120 |
| Language | EN |
| Citations received | 1 |
| References cited | 4 |
Using a case example, I have explored a particular type of difficult patient. This individual has typically suffered poor attachment with his maternal object and through projective identification has developed highly conflicted object ties within the ego. These relations produce cycles of intense persecutory and depressive anxieties, forcing the subject to rely on excessive splitting and other primitive defenses. As part of these protective maneuvers, the ego begins to build internal bargains and treaties with the adversarial objects. These repetitious intrapsychic negotiations lead to delusional thought systems that bring on the very anxiety the ego tried to avoid, creating vicious feedback loops with more severe delusional systems and more rigid bargains to strike. For the price of survival, and the maintenance of an intact object, the ego builds and maintains certain relational configurations. These are attempted solutions for fantasies about destructive forces threatening the ego or the object. Self and object protection are the goals. If these intrapsychic bargains break down, fantasies about self and object destruction, loss, or annihilation enter the forefront. Infusing the concept of compromise formation with the ideas of object relations theory allows a better understanding of this highly defended anxiety state
Compromise · Ego Depletion · Id, ego and super-ego · Object (grammar) · Object relations theory · Political science · Projective identification · Psychoanalysis · Psychoanalytic theory · Self-control · Subject (documents) · Artificial Intelligence · Computer Science · Law · Mental Health and Psychiatry · Psychology · Psychotherapy Techniques and Applications · Social Psychology · Transactional Analysis in Psychotherapy
| Citations per year | 0.05 |
|---|---|
| Citation span | 2005 - 2005 (1) |
| Highly cited | No |