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W W Meissner

Publications and source records attributed to W W Meissner.

At least 73 records · Page 4Linked to original sources

Psychotherapeutic schema based on the paranoid process.

A psychotherapeutic schema is proposed based on the analysis of the paranoid process. The paranoid process involves a paranoid construction of the patient's view of reality and his environment, particularly the social environment. The paranoid construction sustains and makes sense out of the patient's projective system. These projective elements reflect and are derived from the introjects--the internalized objects around which the patient's inner world and his experience of himself are organized. The schema aims at focusing the therapy on these introjects as central to the psychopathology. The following steps of the schema are outlined and discussed: establishing the therapeutic alliance, defining the projective system, testing reality, clarification of the introjects, derivation of the introjects, motivation of the introjects, mourning of infantile attachments, emergence of transference dependence, transference resolution, and termination.

Attitude of Health Personnel↗

A note on internalization as process.

To the view of internalization as fantasy, there is counterposed the view of internalization as process. The philosophical roots and basic argument of the "fantasy" view are evaluated, particularly in reference to the position of metaphorical terms in psychoanalytic theory. Especially confusing is the literal interpretation of metaphors of spatialization distinguishing the inner dimensions of psychic experience from external referents. The persistent theoretical need is to translate metaphorical usage into meaningful and consistent theoretical terms. The organization of introjects cannot be reduced to memory elements, object representations, or fantasy products. Internalization as process refers to a series of real psychological events whose specific delineation and description has not been accomplished.

Fantasy↗

Psychoanalysis as a theory of therapy.

The development of psychoanalytic theory is traced from its origins in Freud's early thinking in terms of his advancing clinical experience. While the influence of clinical experience on the modifications of theory has long been accepted, little attention has been paid to the broad spectrum effects of changing theoretical perspectives on the technique of clinical psychoanalysis. This development is traced through the emergence of ego psychology and the dominance of the structural theory to more current developments having to do with object relations and the theory narcissism. The residual theoretical ambiguities and clinical perplexities are illustrated in two clinical cases. The development of psychoanalytic theory and the correlative aspects of technique are seen as manifesting an organic developmental process which has led to an increasing sophistication of analytic intervention and a broadening capacity for dealing with increasingly difficult and less classical types of cases. The conclusion is drawn that therapeutic lestening is equivalently an informed listening, and it is theory that lends understanding and sensitivity to the hearing process. It is theory that is to be put in the service of listening, rather than listening to be put in the service of theory.

Abreaction↗