Object Relations Theory and Clinical Psychoanalysis is a collection of Kernberg's papers published or presented during the period from 1966 to 1975, with some new material included as well.

Object Relations Theory and Clinical Psychoanalysis is a collection of Kernberg's papers published or presented during the period from 1966 to 1975, with some new material included as well.

Object Relations in Psychoanalytic Theory provides a masterful overview of the central issue concerning psychoanalysts today: finding a way to deal in theoretical terms with the importance of the patient's relationships with other people. Just as disturbed and distorted relationships lie at the core of the patient's distress, so too does the relation between analyst and patient play a key role in the analytic process. All psychoanalytic theories recognize the clinical centrality of “object relations,” but much else about the concept is in dispute. In their ground-breaking exercise in comparative psychoanalysis, the authors offer a new way to understand the dramatic and confusing proliferation of approaches to object relations. The result is major clarification of the history of psychoanalysis and a reliable guide to the fundamental issues that unite and divide the field. Greenberg and Mitchell, both psychoanalysts in private practice in New York, locate much of the variation in the concept of object relations between two deeply divergent models of psychoanalysis: Freud's model, in which relations with others are determined by the individual's need to satisfy primary instinctual drives, and an alternative model, in which relationships are taken as primary. The authors then diagnose the history of disagreement about object relations as a product of competition between these disparate paradigms. Within this framework, Sullivan's interpersonal psychiatry and the British tradition of object relations theory, led by Klein, Fairbairn, Winnicott, and Guntrip, are shown to be united by their rejection of significant aspects of Freud's drive theory. In contrast, the American ego psychology of Hartmann, Jacobson, and Kernberg appears as an effort to enlarge the classical drive theory to accommodate information derived from the study of object relations. Object Relations in Psychoanalytic Theory offers a conceptual map of the most difficult terrain in psychoanalysis and a history of its most complex disputes. In exploring the counterpoint between different psychoanalytic schools and traditions, it provides a synthetic perspective that is a major contribution to the advance of psychoanalytic thought.

W. R. D. Fairbairn (1889-1964) challenged the dominance of Freud's drive theory with a psychoanalytic theory based on the internalization of human relationships. Fairbairn assumed that the unconscious develops in childhood and contains dissociated memories of parental neglect, insensitivity, and outright abuse that are impossible the children to tolerate consciously. In Fairbairn's model, these dissociated memories protect developing children from recognizing how badly they are being treated and allow them to remain attached even to physically abusive parents. Attachment is paramount in Fairbairn's model, as he recognized that children are absolutely and unconditionally dependent on their parents. Kidnapped children who remain attached to their abusive captors despite opportunities to escape illustrate this intense dependency, even into adolescence. At the heart of Fairbairn's model is a structural theory that organizes actual relational events into three self-and-object pairs: one conscious pair (the central ego, which relates exclusively to the ideal object in the external world) and two mostly unconscious pairs (the child's antilibidinal ego, which relates exclusively to the rejecting parts of the object, and the child's libidinal ego, which relates exclusively to the exciting parts of the object). The two dissociated self-and-object pairs remain in the unconscious but can emerge and suddenly take over the individual's central ego. When they emerge, the "other" is misperceived as either an exciting or a rejecting object, thus turning these internal structures into a source of transferences and reenactments. Fairbairn's central defense mechanism, splitting, is the fast shift from central ego dominance to either the libidinal ego or the antilibidinal ego-a near perfect model of the borderline personality disorder. In this book, David Celani reviews Fairbairn's five foundational papers and outlines their application in the clinical setting. He discusses the four unconscious structures and offers the clinician concrete suggestions on how to recognize and respond to them effectively in the heat of the clinical interview. Incorporating decades of experience into his analysis, Celani emphasizes the internalization of the therapist as a new "good" object and devotes entire sections to the treatment of histrionic, obsessive, and borderline personality disorders.

In Psychoanalytic Object Relations Therapy, Althea Horner explores the clinical implications of developmental object relations theory. She considers the importance of finding the interpersonal metaphor embedded in the patient's material, the various kinds of interventions made by the therapist, and the multiple ways the patient uses the therapist, such as a selfobject, a container, and an object for identification. Eight case presentations demonstrate Horner's theoretical contributions.

In Object Relations Theories and Psychopathology: A Comprehensive Text, Frank Summers provides thorough, lucid, and critically informed accounts of the work of major object relations theorists: Fairbairn, Guntrip, Klein, Winnicott, Kernberg, and Kohut. His expositions achieve distinction on two counts. First, the work of each object relations theorist is presented as a comprehensive whole, with separate sections expounding the theorist's ideas and assumptions about metapsychology, development, psychopathology, and treatment, with a critical evaluation of the strengths and limitations of the theory in question. Second, the emphasis in each chapter is on issues of clinical understanding and technique. Making extensive use of case material provided by each of the theorists, he shows how each object relations theory yields specific clinical approaches to a variety of syndromes, and how these approaches entail specific modifications in clinical technique. Beyond his detailed attention to the theoretical and technical differences among object relations theories, Summers' penultimate chapter discusses the similarities and differences of object relations and interpersonal theories. And his concluding chapter outlines a pragmatic object relations approach to development, psychopathology, and technique that combines elements of all object relations theories without opting for any single theory. Object Relations Theories and Psychopathology is that rare event in psychoanalytic publishing: a substantial, readable text that surveys a broad expanse of theoretical and clinical landscape with erudition, sympathy, and critical perspective. It will be essential reading for all analysts, psychologists, psychiatrists, and social workers who wish to familiarize themselves with object relations theories in general, sharpen their understanding of the work of specific object relations theorists, or enhance their ability to employ these theories in their clinical work.

What does it mean to be human? Object relations, the British- based development of classic Freudian psychoanalytic theory, is based on the belief that the human being is essentially social; the need for relationship is central to the definition of the self. Object relations theory forms the base of psychoanalysts' work, including Melanie Klein, D. W. Winnicott, W. R. D. Fairbairn, Michael Balint, H.J.S. Guntrip, and John Bowlby. Lavinia Gomez here provides an introduction to the main theories and applications of object relations. Through its detailed focus on internal and interpersonal unconscious processes, object relations can help psychotherapists, counselors and others in social service professions to understand and work with people who may otherwise seem irrational, unpredictable and baffling.

Self and Others is addressed to students and practitioners of psychoanalysis and psychoanalytic psychotherapy. Its 19 chapters are divided into five evenly balanced parts. The first rubric, "Self, Others, and Ego," introduces us to the units of the intersubjective constitution we have come to know as object relations theory. The second rubric, "Developing Object Relations," is a confluence of lessons derived from infant studies and the psychotherapeutic process, specifically from the work of Mahler and Kernberg. Third, Hamilton integrates into an "Object Relations Continuum" Mahler's developmental stages and organizational series with nosological entities and levels of personality organization. Under the penultimate rubric, "Treatment," levels of object relatedness and types of psychopathology are grounded in considerations of technique in treatment, and generous clinical vignettes are provided to illustrate the technical issues cited. Last, the rubric of "Broader Contexts" takes object relations theory out of the consulting room into application areas that include folklore, myth, and transformative themes on the self, small and large groups, applications of object relations theory outside psychoanalysis, and the evolutionary history and politics of object relations theory. This volume thus presents an integrative theory of object relations that links theory with practice. But, more than that, Hamilton accomplishes his objective of delineating an integrative theory that is quite free of rivalry between schools of thought. An indispensable contribution to beginning psychoanalytic candidates and other practitioners as well as those who wish to see the application of object relations theories to fields outside of psychoanalysis. —Psychoanalytic Books: A Quarterly Journal of Reviews A Jason Aronson Book

W. R. D. Fairbairn (1889-1964) challenged the dominance of Freud's drive theory with a psychoanalytic theory based on the internalization of human relationships. Fairbairn assumed that the unconscious develops in childhood and contains dissociated memories of parental neglect, insensitivity, and outright abuse that are impossible the children to tolerate consciously. In Fairbairn's model, these dissociated memories protect developing children from recognizing how badly they are being treated and allow them to remain attached even to physically abusive parents. Attachment is paramount in Fairbairn's model, as he recognized that children are absolutely and unconditionally dependent on their parents. Kidnapped children who remain attached to their abusive captors despite opportunities to escape illustrate this intense dependency, even into adolescence. At the heart of Fairbairn's model is a structural theory that organizes actual relational events into three self-and-object pairs: one conscious pair (the central ego, which relates exclusively to the ideal object in the external world) and two mostly unconscious pairs (the child's antilibidinal ego, which relates exclusively to the rejecting parts of the object, and the child's libidinal ego, which relates exclusively to the exciting parts of the object). The two dissociated self-and-object pairs remain in the unconscious but can emerge and suddenly take over the individual's central ego. When they emerge, the "other" is misperceived as either an exciting or a rejecting object, thus turning these internal structures into a source of transferences and reenactments. Fairbairn's central defense mechanism, splitting, is the fast shift from central ego dominance to either the libidinal ego or the antilibidinal ego-a near perfect model of the borderline personality disorder. In this book, David Celani reviews Fairbairn's five foundational papers and outlines their application in the clinical setting. He discusses the four unconscious structures and offers the clinician concrete suggestions on how to recognize and respond to them effectively in the heat of the clinical interview. Incorporating decades of experience into his analysis, Celani emphasizes the internalization of the therapist as a new "good" object and devotes entire sections to the treatment of histrionic, obsessive, and borderline personality disorders.

Object relations theory has caused a fundamental reorientation of psychodynamic thought. In Object Relations Theory and Practice, Dr. David E. Scharff acclimates readers to the language and culture of this therapeutic perspective and provides carefully selected excerpts from seminal theorists as well as explanations of their thinking and clinical experience. He offers readers an unparalleled resource for understanding object relations psychotherapy and theory and applying it to the practice of psychotherapy and psychoanalysis. The book's sequence establishes the centrality of relationships in this theory: the internalization of experience with parents, splitting, projective identification, the role of the relationship between mother and young child in development, and transference and countertransference in the therapeutic action of psychoanalysis and psychotherapy. This book will introduce students to the basics, to the widening scope of object relations theory, and to its application to psychoanalysis and individual, group, and family psychotherapy.