By Stanley J. Coen
In this significant contribution to modern psychoanalysis, Stanley Coen illuminates a heretofore undescribed personality constitution in particular immune to analytic process. Pathologically established sufferers, for Coen, are pointed out now not via floor personality features, yet through their reaction to the intrapsychic calls for of analysis. Such sufferers stay in therapy, occasionally contentedly, occasionally amid rebukes and court cases, yet they don't benefit from it. Their lack of ability to exploit perception, particularly within the transference, is matched via a proclivity for sadomasochistic enmeshment. In research, this tendency interprets right into a carrying on with established attachment to the analyst.
In exploring the genetic roots of pathological dependency, Coen levels past extant trauma theories in describing a trend of parent-child interplay within which repetitive behavioral enactments alternative for the reputation and determination of conflicts, either intrapsychic and interpersonal. In research, pathologically established sufferers use the analyst as they've got come to exploit major others all through their lives: as a part of a protective constitution characterised by means of repetitive enactments and a refusal to stand what's wrong with them. This "misuse of others" is infused with destructiveness, hostility, and rage, and the analyst unavoidably turns into the article of those strong emotions. With such sufferers, then, the line to healing development always passes in the course of the research of mutual transferential and countertransferential hate, the patient's tempting invites to collusion and avoidance although.
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Additional resources for The Misuse of Persons: Analysing Pathological Dependency
Example text
These patients cling defensively and repetitively to relationships that make them feel safer. They relate by supplicating, complaining, provoking, fighting, or blaming. The other is to be responsible for oneself and for what is present within oneself. '' Either the other becomes the bad one, or else the other will spare him the role of the bad one. The patient repeats with others a parent-child relationship wherein separateness and autonomy were felt as terrifying and the other was invested with the promise of special, magical protection.
Passive, masochistic surrender offers the promise of a comforting, protective, containing parent, who will totally take over one's care and responsibility for one's global destructiveness. Note that passive, masochistic surrender is not the same as despair in human relations, immobilization, and giving up. Rather, it is another way to defend against these greater dangers. I view sadism as a partially organized and sexualized defense against destruction and object need, rather than a failure of defense that would lead to disorganization, despair, and immobilization.
A and his wife were then on a cruise ship with others, including a well-known, controversial political figure. Everyone was discussing the imminence of nuclear disaster. Then it was as if the war were raging and the patient and his wife were in a lifeboat. He was worried about his daughter, who was in New York. Another scene followed-as if the day after a nuclear attack, in which the patient and his wife were surveying and recovering from what had happened. Mr. A told the dream in his typically exhibitionistic style, and tried to impress and engage the analyst.