By Judith L. Mitrani
Annotation an outline of 1 analyst's efforts to obtain and reply to the shiny impressions of uncooked and infrequently unmentalized reports, as highlighted within the healing courting. This booklet integrates the paintings of Klein, Winnicott, Bion and Tustin
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Additional info for Framework for the imaginary : clinical explorations in primitive states of being
Ed experience of the catastrophic loss of and painfullongingfoT the primary object. Hope Hope, a woman in her early thirties, came to analysis after many years of therapy. Having recently lost her father after nursing him through a painful illness, she moved to this city 34 A Framework for the Imaginary to be closer to an aged mother who she feared was needy and infirm. Hope thought her own depression attributable to a recent abortion she had, and complained of her relationship with the father of the aborted baby, a man she described as unprepared for the responsibilities of marriage and children.
Po 299J Most useful for the clinician is the distinction Meltzer explicitly made with regard to the course of treatment with sueh patients. He clarified that what was previously thought to be associated with motivation-the problem of "negative therapeutic reaction" related to envy, masochism,jealousy, and unconscious guilt-could be seen as a manifestation of a structural defect. [These patients] do just fall to pieces occasionally, and one has to be very patient with particular counterference problems that have to do with being able to contain the patient ...
MELTZER'S HISTORICAL AND TECHNICAL CONTRIBUTIONS Meltzer (1975) has provided a historical context for the saga of the development of Kleinian thinking, which culminated in the conceptualization of adhesive identification, suggesting a primitive narcissistic state preceding that subsumed under the paranoidschizoid position. This illuminating paper enriched the findings that he and his co-workers reported in the classic volume Explorations in Autism (Meltzer et at 1975), especially in the area of the technique working with such elemental states in aduhs as well as in children.