Author	Mendelsohn, Roy M. author
Title	The Synthesis of Self [electronic resource] : Volume 2 It all Depends on how you Look at it Development of Pathology in the Cohesive Disorders / by Roy M. Mendelsohn
Imprint	Boston, MA : Springer US, 1987
Connect to	http://dx.doi.org/10.1007/978-1-4613-1947-4
Descript	272p. online resource

The oedipal situation involves much more than an instinctual atยญ titude toward a prohibited object giving expression to unconscious wishes. It introduces a whole new way of perceiving the internal and external world and an entirely different orientation to the myriad of life's experiences. A great deal of structural developยญ ment, requiring the negotiation of a sequence of early developmenยญ tal tasks, has to have taken place before it is possible to encompass the complex demands of an oedipal attitude. When these early steps are not negotiated, although genital instinctual impulses may be manifested, the structural alignments necessary to enter into an oedipal position cannot be effected and the intrapsychic conยญ flicts it engenders are not encountered. The thrust of early developยญ ment has made it essential for a narcissistic perspective to be adopted toward all stimuli and all relationships in order to enable All attachments must of necessity be continuing self-expansion. based upon the narcissistic supplies they contain, which ultimately lead to increasing levels of independence, self-differentiation, and individuation. It is precisely when the component instincts are conยญ solidated into a genital drive that a narcissistic orientation can no longer incorporate the representation of experiences needed for the full realization of self-potentials. Were stimuli to only possess sigยญ nificance in regard to their narcissistically enhancing attributes, the resulting dependence upon the external world would run counter to the thrust for independence and autonomy

The Genital Character -- Hysteria -- The Obsessive Disorders -- The Narcissistically Determined, Object-Related Disorders: The Phobias -- 1. The Cohesive Disorders -- A Definition of Cohesiveness -- The Significance of Object-Related Perceptions -- The Development and Function of Fixation Points -- The Object-Related Neurotic Disorders: Hysteric and Obsessive Pathologies -- The Narcissistically Determined Object-Related Disorders: Phobic Pathology -- 2. Hysterical Symptom Formation and Hysterical Character Pathology: Preoedipal Determinants -- Introduction: Symptom Formation -- The Fixation Points in the Development of the Hysteric -- The Grandiose Self and Ego Ideal in the Hysteric -- The Nature of Reaction Formations -- The Preconditions for a Genital Organization and Their Effects upon the Oedipal Conflict -- The Defensive Significance of Hysterical Symptoms and of Hysterical Character Pathology -- 3. Hysterical Symptom Formation and Hysterical Character Pathology: Oedipal Determinants -- Introduction: Castration Anxiety and the Oedipal Conflict -- The Influence of Early Development upon the Structure of Castration Anxiety and the Oedipal Conflict -- The Oedipal Conflict in Hysteria -- The Defensive Organization in the Hysteric -- The Status and Significance of Object-Related Perceptions in the Hysteric -- The Effects of Hysteric Development upon Thinking, Perception, and Adaptation -- Some Implications for Treatment -- Depression in the Hysteric -- 4. Hysterical Symptom Formation and Hysterical Character Pathology: Clinical Material -- Clinical Material -- Discussion -- The Structural Foundation of Thought in Hysteria -- The Structural Foundation of Thought in Other Disorders -- 5. Obsessive Character Pathology and Obsessive Symptom Formation: Preoedipal Determinants -- IntroductionโThe Role of Aggression -- Early Influences in the Development of the Obsessive -- The Differentiating Structures Maintaining Cohesiveness -- The Fixation Points in the Obsessive -- The Nature of Reaction Formations -- The Effects of the Obsessiveโs Development upon Thinking, Perception, and Adaptation -- 6. Obsessive Character Pathology and Obsessive Symptom Formation: Oedipal Determinants -- IntroductionโThe Anal Influence in Obsessive Disorders -- The Preconditions for the Oedipal Conflict and the Structure of Castration Anxiety -- The Oedipal Conflict in the Obsessive -- The Oedipal Conflict in the Male -- The Oedipal Conflict in the Female -- The Significance of Obsessive Character Pathology -- The Significance of Obsessive Symptoms -- The Significance of the Defensive Organization of the Obsessive -- Depression in the Obsessive -- 7. Obsessive Character Pathology and Obsessive Symptom Formation: Clinical Material -- Clinical Material -- Discussion -- Behavior as a Reflection of Character: A Comparison with Hysteria -- The Structure of Thought in the Obsessive -- 8. The Narcissistically Determined Object-Related Disorders: The Phobias. Pregenital Determinants -- Early Influences in the Development of the Phobias -- The Grandiose Self and Ego Ideal in the Phobic -- Separation-Individuation, Cohesiveness, and the Formation of Differentiating Structures -- The Effect of the Absence of Reaction Formations -- The Composition of the Self- and Object Representational Systems in the Phobias -- The Fixation Points and Their Relationship to Phobic Symptoms -- 9. The Narcissistically Determined Object-Related Disorders: The Phobias. The Significance of the Oedipal Situation -- Introduction: The Conditions Necessary for a Shift from Narcissism to Object Relatedness -- The Preconditions for Object Relatedness in the Phobias -- The Status of Internal Regulation in the Phobias -- The Relationship of the Fixation Points to a Genital Consolidation -- The Nature of the Oedipal Conflict -- The Threat of Loss of Cohesiveness -- Depression in the Phobic Disorders -- 10. The Narcissistically Determined Object-Related Disorders: The Phobias. Clinical Examples and Discussion -- The Object Phobias -- The Self-Phobias -- The Combined Self- and Object Phobias -- Summary -- The Structure of Thought in the Phobic Disorders -- 11. The Cohesive Disorders: A Comparison -- The Self-Representational System -- The Object Representational System -- Self-Object Need -- The Nature of Anxiety and Repression -- The Conflict-Free Sphere -- Transference -- The Conscious and Preconscious Systems -- Drive Development -- Regression in the Service of the Ego -- Reality Testing (The Fixation Points) -- The Ego (The Process of Play) -- The Id (Processes of Love) -- The Superego (The Process of Work) -- Conscious Motivation for Treatment -- Unconscious Motivation for Treatment -- Complaints -- References

1. Medicine
2. Psychiatry
3. Medicine & Public Health
4. Psychiatry