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H A Bacal

Publications and source records attributed to H A Bacal.

7 recordsLinked to original sources

British object-relations theorists and self psychology: some critical reflections.

This survey of six major British object-relations theorists examines the ways in which their ideas anticipated self psychology. The work of Ian Suttie is first considered as a relatively undiscovered but significant member of this group. The work of W.R.D. Fairbairn, Harry Guntrip, Michael Balint, and D.W. Winnicott demonstrates the introduction and development of many concepts which reflect essential theory in self psychology, none of which has been recognized by Kohut or his followers. The British theorists, however, failed to systematize a psychology of the self in the way Kohut did, largely because they were unable to dissociate their theories from the prevailing moralistic view of narcissism. The psychological legitimacy of selfobject relations throughout life could not be placed at the centre of theory, since maturity required that 'narcissistic' object relations be relinquished. The difficulty which these theorists had in disengaging their concepts from instinct theory is regarded as a less important determinant preventing them from developing a comprehensive self psychology. A review of Melanie Klein's work suggests interesting parallels with Kohut's work, but reveals essential incompatibilities in basic theoretical assumptions with regard to the nature of the relationship between the infant's self and its early environment. Some ways in which the work of these object-relations theorists can enrich self-psychological theory and practice are suggested.

Ego↗

Psychodynamic changes in untreated neurotic patients. II. Apparently genuine improvements.

This work is part of a study of 45 neurotic patients who were seen for consultation at the Tavistock Clinic but who never received treatment, and who, by the time they were asked to come for follow-up, had never been interviewed by a psychiatrist more than twice in their whole lives. In a previous report, we described 13 patients who were at least "improved" on purely symptomatic criteria but whom we did not regard as improved on dynamic criteria. Here, we describe 11 patients who were judged to be improved on dynamic criteria. These patients are of extraordinary interest, providing not only direct evidence of therapeutic mechanisms in everyday lifeān answer to a question posed by Strupp and Bergin in 1969but also, quite unexpectedly, evidence about the therapeutic effects of single interviews.

Adult↗