Projective identification, self-disclosure, and the patient's view of the object: the need for flexibility.
Certain patients, through projective identification and splitting mechanisms, test the boundaries of the analytic situation. These patients are usually experiencing overwhelming paranoid-schizoid anxieties and view the object as ruthless and persecutory. Using a Kleinian perspective, the author advocates greater analytic flexibility with these difficult patients who seem unable to use the standard analytic environment. The concept of self-disclosure is examined, and the author discusses certain technical situations where self-disclosure may be helpful. (The Journal of Psychotherapy Practice and Research 1999; 8:225-233)
San Francisco Institute for Psychoanalytic Psychotherapy and Psychoanalysis, USA.
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Waska
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D011369:Professional-Patient Relations; D012563:Schizophrenia, Paranoid / Q000523:psychology; D012649:Self Concept; D012650:Self Disclosure; D014167:Transference, Psychology