Psychic Retreats: Pathological Organizations in Psychotic, Neurotic and Borderline Patients (Paperback) book cover

Psychic Retreats

Pathological Organizations in Psychotic, Neurotic and Borderline Patients

By John Steiner

Foreword by Roy Schafer

© 1994 – Routledge

176 pages

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pub: 1993-12-02
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Description

Essentially clinical in its approach, Psychic Retreats discusses the problem of patients who are 'stuck' and with whom it is difficult to make meaningful contact. John Steiner, an experienced psychoanalyst, uses new developments in Kleinian theory to explain how this happens.

He examines the way object relationships and defences can be organized into complex structures which lead to a personality and an analysis becoming rigid and stuck, with little opportunity for development or change. These systems of defences are pathological organisations of the personality: John Steiner describes them as 'psychic retreats', into which the patient can withdraw to avoid contact both with the analyst and with reality.

To provide a background to these original and controversial concepts, the author builds on more established ideas such as Klein's distinction between the paranoid-schizoid and depressive positions, and briefly reviews previous work on pathological organizations of the personality. He illustrates his discussion with detailed clinical material, with examples of the way psychic retreats operate to provide a respite from both paranoid-schizoid and depressive anxieties. He looks at the way such organizations function as a defence against unbearable guilt and describes the mechanism by which fragmentation of the personality can be reversed so the lost parts of the self can be regained and reintegrated in to the personality.

Psychic Retreats is written with the practising psychoanalysts and psychoanalytic psychotherapists in mind. The emphasis is therefore clinical throughout the book, which concludes with a chapter on the technical problems which arise in the treatment of such severely ill patients.

Reviews

"All practitioners at times struggle with the pathologically organised mind and will be relieved and heartened by this book, and those students who complain that the authors of clinical papers never declare what they actually say in sessions will find nothing to grumble about." - British Journal of Psychotherapy

"This is a very clearly and concisely written book about patients who are very difficult to reach. Its great strength lies in the way that Steiner convincingly brings together detailed clinical description and the theoretical concepts informing his work … I wholeheartedly recommend it to a wide readership." - Chris Mawson

Table of Contents

A Theory of Psychic Retreats. Psychic Retreats. The Paranoid-schizoid and Depressive Positions. Review: Narcissistic Object Relations and Pathological Organisations of the Personality. The Recovery of Parts of the Self Lost Through Projective Identification: The Role of Mourning. The Retreat to a Delusional World: Psychotic Organisations of the Personality. Pathological Organisations as a Defence Against Depressive Pain and Guilt. The Relationship to Reality in Psychic Retreats. Perverse Relationships in Pathological Organisation. Two Types of Pathological in Oedipus the King and Oedipus at Colonus. Problems of Psychoanalytic Technique: Patient-centred and Analyst-centred Interpretations

About the Author

John Steiner is a member of the British Psycho-Analytical Society and a Consultant Psychotherapist at the Tavistock Clinic, London.

About the Series

The New Library of Psychoanalysis

The New Library of Psychoanalysis is published by Routledge Mental Health in association with the Institute of Psychoanalysis, London.

Its purpose is to facilitate a greater and more widespread appreciation of psychoanalysis and to provide a forum for increasing mutual understanding between psychoanalysts and those in other disciplines. The series also aims to make some of the work of continental and other non-English speaking analysts more readily available to English-speaking readers, and to increase the interchange of ideas between British and American analysts.

The New Library of Psychoanalysis published its first book in 1987 under the editorship of David Tuckett, later followed by Elizabeth Bott Spillius, Susan Budd and Dana Birksted-Breen. A considerable number of Associate Editors and readers have assisted the editors.

Under the guidance of Foreign Rights Editors, a considerable number of the New Library books have been published abroad, particularly in Brazil, Germany, France, Italy, Peru, Spain and Japan.

The aim of the New Library of Psychoanalysis is to maintain the high level of scholarship of the previous series, to provide a forum for increasing understanding between psychoanalysis and other disciplines and to increase the interest of the general book-reading public in psychoanalysis.

The New Library of Psychoanalysis also aims to help the various schools of psychoanalysis to better understand each other. It has published books representing all three schools of thought in British psychoanalysis, including a particularly important work edited by Pearl King and Riccardo Steiner, expounding the intellectual and organisational controversies that developed in the British psychoanalytical Society between Kleinian, Viennese and 'middle group' analysts during the Second World War.

The New Library of Psychoanalysis has also translated and published several books by Continental psychoanalysts, and it plans in the future to continue the policy of publishing books that express as clearly as possible a variety of psychoanalytic points of view.

Learn more…

Subject Categories

BISAC Subject Codes/Headings:
PSY026000
PSYCHOLOGY / Movements / Psychoanalysis