title: Intolerance of responsibility for internal conflict.
abstract: A type of patient is described, who has marked intolerance of taking responsibility for his internal conflicts so as to confront them, analyze them, and change. Defensive repetition in pathological object relations aims to avoid what is wrong within and to engage another so as to protect oneself. Genetic, dynamic, and technical aspects of such defensive, dependent relating are considered. Responsibility for oneself and for what is within oneself is held to be terrifying--more than anyone can bear on his own. How destructiveness has become, and remains, so terrifying is discussed.
authors.affiliation: Columbia University Psychoanalytic Center.
authors.forename: S J
authors.initials: SJ
authors.lastname: Coen
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D003220:Conflict, Psychological; D003674:Defense Mechanisms; D004325:Dreams; D006801:Humans; D008297:Male; D011573:Psychoanalytic Interpretation; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy / Q000379:methods*; D011889:Rage; D013475:Superego