By John E. Gedo
Anchoring his schema within the trust that nonorganic problems are disturbances in adaptation explicable inside a depth-psychological framework, Gedo posits vast different types of practical illness: "apraxias" that characterize any failure to profit adaptively crucial talents, and problems of what her phrases "obligatory repetition." inside of either different types of sickness, Gedo avers, the vicissitudes of psychological functioning are comprehensible by way of regression to really archaic modes of functionality and the reversal of regression and go back to expectable modes of grownup function.
It follwos from Gedo's knowing of the way and why the brain turns into disordered, that analysis using psychoanalytic rules can simply be in response to the succession of transference constellations encountered in therapy, for the reason that those constellations at all times pinpoint the developmental impasses within which maladaptive repetitive styles and the failure to profit easy mental abilities are rooted. For reasons of realizing a number of apraxic and repetitive problems, Gedo equates such easy talents not just with the 3 significant psychobiological attainments he has invoked long ago, yet with the improvement of sufficient notion, cognition, affectivity, and verbal exchange skills.
Beautifullu equipped, lucidly written, and richly illustrated with case vignettes, The brain in Disorder is not just the considerate yield of a very good clinician's 3 many years of experience. it's also the 1st psychoanalytic publication seeing that Otto Fenichel's masterwork of 1945, The Psychoanalytic idea of Neurosis, to take the problem of the way we conceptualize psychopathology as its primary concentration.
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Extra info for The Mind in Disorder: Psychoanalytic Models of Pathology
Example text
The major exception to this rule is the person who behaves masochistically as part of an identification with someone, generally a primary caretaker, who served as a model of masochism in his childhood. Very often such an identification is founded on ambivalence - sometimes the protagonists are actually engaged in a competition about who has suffered more. (I have described such a circumstance in some detail in a family of death-camp survivors [Gedo, 1 984, ch. ) In such cases it is usually clear that the child could gain self-esteem only by following the thorny path of the parent's masochistic proclivities.
Her father was a busy physician whose lucrative practice did not fully satisfy his aspirations and who deferred to his wifes superiority in intellectual matters. The patienes mother was an imperious woman who had left a teaching career for marriage and considered herself to have been wasted on family life. She was unable to cope with her first child7 a wild and rebellious boy of 7 extraordinary spirit. Apparently7 it was her son s success in asserting his independence that led her to conceive the patient7 whom she called 77 her adepression baby.
Instances of masochism based on early identifications probably cannot be classified as behaviors %eyond" the pleasure principle, for their real aim is the achievement of what was once understood as excellence. In other words, the excessive cost of these inconvenient adaptive patterns is merely an incidental byproduct of the attainment of childhood self-esteem. This may occasionally be buttressed by masochistic behaviors that do not stem from identifications with a similarly masochistic caretaker.
