Stanley J. Coen

The Misuse of Persons (eBook, ePUB)

Analysing Pathological Dependency

• Format: ePub

Produktbeschreibung

In this major contribution to contemporary psychoanalysis, Stanley Coen illuminates a heretofore undescribed character structure especially resistant to analytic process. Pathologically dependent patients, for Coen, are identified not by surface character traits, but by their response to the intrapsychic demands of analysis. Such patients remain in treatment, sometimes contentedly, sometimes amid rebukes and complaints, but they do not profit from it. Their inability to use insight, especially in the transference, is matched by a proclivity for sadomasochistic enmeshment. In analysis, this tendency translates into a continuing dependent attachment to the analyst. In exploring the genetic roots of pathological dependency, Coen ranges beyond extant trauma theories in describing a pattern of parent-child interaction in which repetitive behavioral enactments substitute for the acceptance and resolution of conflicts, both intrapsychic and interpersonal. In analysis, pathologically dependent patients use the analyst as they have come to use significant others throughout their lives: as part of a defensive structure characterized by repetitive enactments and a refusal to face what is wrong with them. This "e;misuse of others"e; is infused with destructiveness, hostility, and rage, and the analyst necessarily becomes the object of these powerful emotions. With such patients, then, the road to therapeutic progress invariably passes through the analysis of mutual transferential and countertransferential hate, the patient's tempting invitations to collusion and avoidance notwithstanding.

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Produktdetails

• Verlag: Taylor & Francis
• Seitenzahl: 336
• Erscheinungstermin: 26. November 2013
• Englisch
• ISBN-13: 9781317758051
• Artikelnr.: 40109019

Autorenporträt

Stanley J. Coen, M.D., is Training and Supervising Analyst, Columbia University Center for Psychoanalytic Training and Research, and Clinical Professor of Psychiatry, Columbia University College of Physicians and Surgeons. Dr. Coen is a member of the Editorial Board of the Journal of the American Psychoanalytic Association.

Inhaltsangabe

I. Background for the Study of Pathological Dependency 1. Introduction 2.
What Is Pathological Dependency? 3. What Is Destructiveness and Why Is It
So Frightening in Dependency? II. The Inability to Manage Oneself 4.
Responsibility for Conflict and the Incapacity to Bear It 5. Dependency and
the Superego 6. Repetition Versus Change 7. The Sense of Defect III. The
Need to Avoid Destructiveness 8. Sexualization 9. Superego Aspects of
Entitlement 10. Psychosomatic Avoidance of Conflict IV. The Pathological
Need for the Other 11. Some Problems for the Analyst in Analyzing
Pathological Dependency 12. The Excitement of Sadomasochism 13. Perversion
14. Pathological Jealousy V. Conclusion 15. Toward a Passionate Analysis:
Technique in the Analysis of Pathological Dependency