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Obstacles facing the psychoanalyst when interpreting narcissistic pathologies

Characteristics of the authoritarian patient

Bibliographic Data

ID8972308
AuthorsJorge Luis Maldonado (Juez Estrada 2725, (1425) Buenos Aires, Argentina ‐, corresponding author)
Year2003
Volume84
Issue2
Pages347-366
Publication date2003-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe International Journal of Psychoanalysis (JOURNAL)
Journal identifiersISSN: 0020-7578 • E-ISSN: 1745-8315
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1516/vwne-xmmk-29gc-7x9g
PMID12856356
OpenAlexW2016371473
LanguageEN
Citations received10
References cited10

This paper explores the unconscious agreements between patient and analyst that promote some aspects of conflict to be excluded from the content of the interpretations. This generates an experience of exerting omnipotent control over the analyst, which subsequently consolidates a narcissistic phantasy. A stagnation of the analytic process is established in the course of the analysis but this remains hidden by areas of partial progress in the patient. Clinical material is provided in order to show the vicissitudes of the interrelationship between patient and analyst. It also demonstrates the working through by the analyst of a situation of both transferential and countertransferential conflict. This leads to an inhibition on the part of the analyst in his interpreting function. The use of projective identifications, which are mutually contradictory and incompatible, is also under discussion. This, as a result of being expressed simultaneously, constitutes a paradox, which may lead the analyst to confusion and an experience of paralysis. The subsequent confusional anxieties are considered. Additionally, authoritarianism is discussed, including its attendant difficulties of establishing boundaries between the self and the object. Finally, under consideration is the risk one takes in formulating authoritarian interpretations, which, in certain cases, can impose criteria on the patient

Authoritarianism · Confusion · Epistemology · Narcissism · Object (grammar · Order (exchange · Political science · Projective identification · Projective test · Psychoanalysis · Psychoanalytic theory · Unconscious mind · Working through · Law · Mental Health and Psychiatry · Philosophy · Psychoanalysis and Social Critique · Psychology · Psychotherapy Techniques and Applications · Social Psychology

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Unique citing works10
Citations per year0,45
Citation span2004 - 2019 (16)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 10

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