The autistic object: its relationship with narcissism in the transference and countertransference of neurotic and borderline patients. 1990

J Mario Gomberoff, and C Carmen Noemi, and L Pualuan de Gomberoff

In this paper we examine the relationship of the autistic object concept to narcissism, and we attempt to delimit its chronological location. Then we refer to transferential and countertransferential relationships that appear when the autistic object arises within the analysis of nonpsychotic patients. We also discuss some clinical phenomena described in other ways by different authors, with characteristics very similar to those that we have termed autistic objects. We report the case of a patient whose analysis is arrested upon the appearance of the clinical phenomenon under study. The emergence of the austistic object demanded unusual manoeuvres for its removal and subsequent resumption of the process. Analyst and patient had shared--in transferential and countertransferential ways--the autistic object put forward by the patient. The verbal discourse precluded communication instead of making it possible. We used the model of the mental kaleidoscope to explain some of the clinical phenomena described.

UI MeSH Term Description Entries
D008297 Male Males
D009289 Narcissism A psychoanalytic term meaning self-love. Narcissisms
D009497 Neurotic Disorders Disorders in which the symptoms are distressing to the individual and recognized by him or her as being unacceptable. Social relationships may be greatly affected but usually remain within acceptable limits. The disturbance is relatively enduring or recurrent without treatment. Neuroses,Psychoneuroses,Disorder, Neurotic,Disorders, Neurotic,Neurotic Disorder
D009769 Object Attachment Emotional attachment to someone or something in the environment. Bonding (Psychology),Bonds, Emotional,Emotional Bonds,Object Relations,Symbiotic Relations (Psychology),Bonding, Psychological,Object Relationship,Psychological Bonding,Attachment, Object,Attachments, Object,Bond, Emotional,Bondings (Psychology),Emotional Bond,Object Attachments,Object Relation,Object Relationships,Relation, Object,Relation, Symbiotic (Psychology),Relations, Object,Relations, Symbiotic (Psychology),Relationship, Object,Relationships, Object,Symbiotic Relation (Psychology)
D010553 Personality Development Growth of habitual patterns of behavior in childhood and adolescence. Development, Personality
D011575 Psychoanalytic Therapy A form of psychiatric treatment, based on Freudian principles, which seeks to eliminate or diminish the undesirable effects of unconscious conflicts by making the patient aware of their existence, origin, and inappropriate expression in current emotions and behavior. Balint Psychoanalytic Therapy,Psychoanalytic Therapy, Balint,Psychoanalytical Therapy,Therapy, Balint Psychoanalytic,Therapy, Psychoanalytic,Psychoanalytic Therapies,Psychoanalytical Therapies,Therapies, Psychoanalytic,Therapies, Psychoanalytical,Therapy, Psychoanalytical
D001883 Borderline Personality Disorder A personality disorder marked by a pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts. (DSM-IV) Personality Disorder, Borderline,Disorder, Borderline Personality,Borderline Personality Disorders,Disorders, Borderline Personality,Personality Disorders, Borderline
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003379 Countertransference Conscious or unconscious emotional reaction of the therapist to the patient which may interfere with treatment. (APA, Thesaurus of Psychological Index Terms, 8th ed.) Countertransference, Psychology
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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