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The Idealisation of Therapy: Fantasy versus Reality in Clinical Practice

Published online by Cambridge University Press:  02 January 2018

A. S. Powell
A. S. Powell*
Affiliation:
University of Oxford; Warneford Hospital, Headington, Oxford OX3 7JX
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Abstract

In this paper, object-relations theory is used to illuminate problems encountered in the psychotherapeutic management of severely disturbed psychiatric patients. The hazards of idealisation of the psychiatrist by the patient are reported in four case histories. Attention is drawn to the subsequent breakthrough of negative feelings where idealisation had been unrecognised or unwittingly encouraged. Some implications for the more successful management of the transference in patients such as these are discussed.

Type
Papers
Information
The British Journal of Psychiatry , Volume 159 , Issue 6 , December 1991 , pp. 850 - 856
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Bowlby, J. (1969) Attachment. London: Hogarth Press.Google Scholar
Fairbairn, W. R. D. (1952) Psychoanalytic Studies of the Personality. London: Routledge & Kegan Paul.Google Scholar
Forgus, R. (1966) Perception. New York: McGraw Hill.Google Scholar
Foulkes, S. H. (1948) Introduction to Group-Analytic Psychotherapy. London: William Heinemann Medical Books.Google Scholar
Freud, S. (1895) Studies on Hysteria (standard edition), vol. 2. London: Hogarth Press.Google Scholar
Jung, C. (1911) Symbols of Transformation (The Collected Works, Vol. 5) (publ. 1956). London: Routledge & Kegan Paul.Google Scholar
Kelly, G. A. (1955) The Psychology of Personal Constructs. New York: Norton.Google Scholar
Kernberg, O. (1975) Borderline Conditions and Pathological Narcissism. New York: Jason Aronson.Google Scholar
Klein, M. (1946) Notes on some schizoid mechanisms. In Envy and Gratitude (publ. 1975). London: Hogarth Press.Google Scholar
Kohut, H. (1971) The Analysis of the Self. The Psychoanalytic Study of the Child Monograph No. 4. London: Hogarth Press.Google Scholar
Main, T. (1957) The ailment. British Journal of Medical Psychology, 30, 129–145.Google Scholar
Winnicott, D. W. (1960) Ego distortions in terms of true and false self. In The Maturational Processes and the Facilitating Environment (publ. 1965). London: Hogarth Press.Google Scholar
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