Drive, Ego, Object, And Self: A Synthesis For Clinical Work

June 12, 2016 @ 1:32 pm

Drive, Ego, Object, And Self: A Synthesis For Clinical Work

Fred Pine

Language: English

Pages: 288

ISBN: 0465017223

Format: PDF / Kindle (mobi) / ePub


In this important new book, the noted theoretician Fred Pine provides a synthesis of the four conceptual domains of psychoanalysis: drives, ego functioning, object relations, and self experience. He argues that a focus on the clinical phenomena themselves, and not on the theoretical edifices built around them, readily illuminates the inevitable integration of the several sets of phenomena in each person’s unique psychological organization.With superb clarity, Pine shows how one or another or more of these becomes central to a particular individual’s psychopathology. Drawing on a wealth of detailed clinical material—brief vignettes, process notes of sessions, and full analyses—he vividly demonstrates how a broad multimodel perspective enhances the treatment process, and is, in fact, its natural form. He also applies these ideas to such crucial clinical issues as preoedipal pathology and ego defect, the so-called symbiotic phase, and the mutative factors in treatment. Conceptually elegant and immensely practical, this highly original work is certain to be, in the words of Arnold Cooper, ”a guide for theorists and clinicians for many years to come.”

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through a process that uses interpretation to reach insight. Expanded cognition, made affectively immediate by seeing phenomena in the transference, and made powerful because insight occurs in a relationship to an analyst who really matters to the patient, is the vehicle for such structural change. But in some sense analysis has arrogated to itself a status as the only treatment that produces such structural change. First of all, that is hardly an empirical generalization; it is an assertion

he entered treatment.* He was married and had two teenage children. The immediate precipitant to his seeking treatment was a coronary suffered by a close friend of his which raised his anxiety greatly about his own health. He had long been plagued by hypochondriacal complaints, and the additional anxiety and flood of physical symptoms following his friend’s coronary finally spurred him to seek the psychological treatment that his physician had been urging on him for years. He was also a very

such interferences, frustrations, and hurts, and so reactive aggression is nonetheless universal. For the forms of aggression I am now addressing, the proactive, self-producing, cyclic aspects seem less central while the interferences, frustrations, and hurts of everyday life seem to provide their main source. But how does such reactive aggression become a drive? How does it achieve ongoing motivational status? How does it become more than momentary? Here we have to recognize one of the mixed

everyone. They simply become more clear with patients working well in an analysis. In all that follows, I do not mean to present some new kind of psychoanalytic work: quite the reverse. The ideas presented thus far sit well, I believe, with psychoanalysis as it is ordinarily carried out. It is that “ordinary” psychoanalytic work that I mean to describe and comment upon. Chapter 7 is based on process notes of sessions with four different patients. I try to give a sense of the work as it is

Sandler (1981), in his discussion of wished-for role relationships that can carry in them libidinal aims as well as other object-relational wishes, such as for safety, is clearly thinking along the same lines. And Jacob Jacobson (1983) also works similarly in his demonstration of drive and of “representational world” concepts in the material of particular sessions. In my experience of my own clinical work, this way of working does not for the most part entail a self-conscious application of

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