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Transcript of Object Relations
Theory Definition & Overview Greenberg & Mitchell (1983, p. 10):
People react to and interact with not only an actual other but also an internal other, a psychic representation of a person which in itself has the power to influence both the individual’s affective states and his overt behavioral reactions. Overview Impact of early infant-caretaker interactions
Important developmental processes involve attachment and experiences with important objects
Defines pathology resulting from object relations deficits
Clients bring their pathological internalized OR, primitive defenses, developmental deficits, as well as their capacities to treatment Tx can modify pathological internal structures or create facilitative and reparative experiences
Change processes in tx result from both reparative and new experiences within the tx relationship itself and from insight
Components of treatment:
Providing a therapeutic holding environment
Pointing out dysfunctional relational patterns and defenses
Engaging in a range of developmentally attuned techniques,
Focusing on transference-countertransference dynamics Concepts Whole v. Part Objects Real v. Fantasy Objects Self
Representations Affect The Ego Internalization:
Splitting Projective Identifcation Superego Theorists Treatment British School American School Melanie
Klein Winnicott Fairbairn Rene
Spitz Margaret Mahler Edith Jacobson Assessment Do the client’s presenting symptoms or problems reflect reactions to current life stressors or are they evidence of long-standing personality difficulties?
To what degree do the client’s presenting symptoms and problems reflect object relations or self pathology?
Do the client’s presenting symptoms and problems reflect malformed intrapsychic structures, conflict, and primitive defenses or developmental deficits?
What are the client’s inner capacities, motivation to work on his/her problems, and environmental supports and resources? Intervention Modifying Pathological Structures
Providing Facilitating and Reparative Experiences Neutrality and Abstinence
Meeting Patients’ Needs Confrontation and Interpretation
Use of Developmentally Attuned Techniques Components of Treatment:
Establishing a Therapeutic Holding Environment
Use of Transitional Phenomena
The Use of Limits and Structure
Being a New and Real Object
Explanation and/or Interpretation