Fostering change in personality configurations: anaclitic and introjective patients in psychoanalysis
2015 (English)In: Book of Abstracts: Society for Psychotherapy Research 46th Annual International Meeting June 24 - 27, 2015 Philadelphia, Pennsylvania, U.S.A., 2015, 56-56 p.Conference paper, Abstract (Other academic)
Aim: Treatment goals in psychoanalysis often include changes in underlying psychological structures. Different patterns of change have been demonstrated in anaclitic and introjective patients. This study takes a further step and examines changes in the anaclitic-introjective personality configurations following psychoanalysis, as well as patients’ experiences of these changes in a series of 14 cases. Method: Outcome measures included SCL-90, SASB and SOC pretreatment, at termination and at 2-year follow-up. Personality assessments were based on repeated interviews and applying prototype-matching methodology. Patients’ experiences were explored by applying inductive thematic analysis. Results: We found a moderate increase in the other polarity, with more mature and integrated expressions of relatedness and self-definition, while still maintaining the basic personality configuration. These changes were more pronounced in the anaclitic group. On the group level, the patients improved on all self-report measures, with outcomes comparable to meta-analytic data, and the improvements continued after termination. However, outcomes on the self-report measures were more favorable in the introjective group. Patients described their experienced changes in terms of complementary personality configuration, but the introjective group described more benefits from psychoanalysis. Several patients expressed their ambivalence to these changes and a feeling of loss of their former selves. The patients’ view of their analysts and the analytic method were congruent with the patients’ primary personality configuration. Discussion: In order to reactivate developmental processes, the psychoanalytic technique has to be adjusted to the anaclitic and introjective patients’ different needs and defenses.
Place, publisher, year, edition, pages
2015. 56-56 p.
personality, change process, psychoanalysis
Research subject Psychology
IdentifiersURN: urn:nbn:se:su:diva-124258OAI: oai:DiVA.org:su-124258DiVA: diva2:883236
Society for Psychotherapy Research, 46th Annual International Meeting, Philadelphia, Pennsylvania, U.S.A., June 24-27, 2015.