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Autistic Defenses in Agoraphobic Syndrome

“Flat” Objects and the Retardation of Projective Identification

Bibliographic Data

ID8335654
AuthorsDuncan Cartwright (0000-0002-9421-0644, 15/2 Dines Place Bruce, 2617 Canberra, AUSTRALIA, corresponding author)
Year2006
Volume54
Issue1
Pages109-134
Publication date2006-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of the American Psychoanalytic Association (JOURNAL)
Journal identifiersISSN: 0003-0651 • E-ISSN: 1941-2460
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/00030651060540010701
PMID16602349
OpenAlexW2119978889
LanguageEN
Citations received1
References cited16

The function of autistic defenses in the generation of agoraphobic symptoms is explored in the case of a patient treated in psychoanalytic psychotherapy. The therapist's growing awareness of autistic modes of relating in the case facilitated various changes in the transference relationship. Although oedipal concerns are seen as important, a formulation is presented whereby autistic modes of generating experience are viewed as fundamental to an understanding of agoraphobic experience. Clinical findings in the transference-countertransference relationship led to the additional observation that the retardation of defensive forms of projective identification further contributed to the patient's agoraphobic difficulties. This formulation is tied theoretically to the idea that agoraphobic experience occurs when the dialectic between paranoid-schizoid and autistic-contiguous modes of generating experience collapses. The treatment implications of these observations are briefly explored

Agoraphobia · Anxiety · Anxiety disorder · Countertransference · Dialectic · Epistemology · Identification (biology) · Projective identification · Projective test · Psychiatry · Psychoanalysis · Psychoanalytic theory · Psychotherapist · Mental Health and Psychiatry · Personality Disorders and Psychopathology · Philosophy · Psychology · Psychotherapy Techniques and Applications

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Unique citing works1
Citations per year0,1
Citation span2016 - 2016 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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