A Kleinian analysis of group development

Various theoretical models have been used to study stages of group development. This paper analyzes the early phases of a therapy group using Melanie Klein's theory of developmental positions. In discussing the underlying forces that contribute to the evolution of the group, a special emphasis is placed on Klein's concept of projective identification and Bion's containment model.     

A Kleinian view of psychoanalytic couples therapy: Part 2

With extensive case material, Part 2 continues to explore the psychoanalytic treatment of couples. Since most couples enter treatment operating in a more primitive paranoid‐schizoid stance, the author contends that it is best to initially focus on each partner's pathological projections and have the other partner witness their struggle to overcome personal issues that contaminate the couple's unified psychology. With continuous working through, the couple can gradually find a more depressive, integrative footing within themselves and as a couple. Again, the value of ‘witnessing’ and working through individual defensive reactions against thinking, pathological projective identifications and the breakdown of the container‐contained function are all examined in the clinical presentations. All these clinical elements are part of the establishment of analytic contact first with each party as individuals and later as a unified couple.     

Elements of the Oedipus complex: A Kleinian account1

The author discusses and illustrates the place in current Kleinian practice of the analysis of the Oedipus complex. He outlines the development of the concept of the Oedipus complex by Freud and by Klein and later writers in the Kleinian tradition. Because the child's exclusion from his parents' sexual relationship represents such a fundamental aspect of reality for the child, analysis of the patient's responses to the oedipal situation constitutes the central task of analysis. Despite the Oedipus complex being in this way central, it is sometimes hard to discern because what is most visible are the patient's defensive responses to the oedipal situation. The emergence of meaning in analysis is often understood unconsciously as the product of the parental intercourse, represented by the work of the patient with the analyst, or of the analyst's or the patient's mind. The analysis of the patient's characteristic reactions to moments of meaningfulness in analysis is therefore an especially fruitful focus for the analysis of the Oedipus complex. The author illustrates these ideas by three clinical examples, from a 3½‐year‐old child, a borderline psychotic patient and a more neurotic patient.     

A Kleinian view of psychoanalytic couples therapy: Part 1

This paper will investigate the central aspects of the psychoanalytic treatment of couples. The concept of analytic contact is introduced and the importance of each party of the couple being witness to the other party's response to analytic contact is discussed. Emphasis will be placed on issues of thinking, projective identification and the concept of container‐contained. Part 1 of the paper will focus mainly on theoretical issues but will then utilize one clinical case to illustrate some of the theoretical points. Using extensive case reports, Part 2 will continue to provide the reader with an in‐depth view of the important process of a couple's therapy within a psychoanalytic framework.     

Internal Objects - A Theoretical Analysis of Jungian and Kleinian Models

In this paper I discuss the ways in which experimental and objective research from cognitive science and developmental psychology can help analysts evaluate the theoretical models of mental objects which we use; I indicate the ways in which such evidence tends to support models of internal objects as mental representations or developmental capacities rather than as wish-fulfilling expressions of instinctual drives. This land of empirical evidence is not just of academic interest but also has direct clinical relevance, particularly with borderline patients; such patients' sense of identity is totally dependent on the analyst's understanding of their internal world and for this to be misunderstood by the analyst can be catastrophic. An accurate theoretical model of mental objects can therefore help analysts to contain their patients more effectively.     

Symposium: On the Interface of Kleinian and Intersubjectivist Approaches to a Clinical Case

This symposium is the first of what we hope will be a series on the interface between Kleinian and intersubjective/relational approaches to psychoanalysis. There are some commonalities between these approaches that may not be entirely obvious. The Kleinian clinical approach organizes the internal world in terms of internal object relationships, and relies on attention to certain aspects of the countertransference as the central data source for analytic work. Both of these qualities provide an immediate link to the two-person model so central to the relational turn. At the same time, the Kleinians' radical insistence on the primacy of the internal world and in particular, the world of the primitive phantasies, runs counter to the relational interest in the equally important role of actual, social reality. This contrast is perhaps most acute in their approaches to the analyst's participation in the analytic dyad, which is meant to be limited to particular analytic functions in the Kleinian approach, but acknowledged and used as a part of an interpersonal relationship in the relational model. As the Kleinian perspectives gain currency in the United States and international interest in the relational approach grows, an exploration of these complex conceptual and clinical differences and similarities seems quite timely.     

Some Questions About Divergences and Similarities Between Kleinian and Intersubjective Approaches: Reply to Commentaries

In this response I focus on some key issues raised by the different approaches of Kleinian and intersubjective clinicians. In particular, I raise questions about how the analyst's subjectivity is to be understood, given that the analyst needs to offer something that is over and above her pure subjective reaction. I also discuss projective identification and its implications for understanding the analyst's subjectivity.