Hatred Emptiness And Hope – Kernberg

Before the end of the session, I was able to point out to the patient that the relationship between a demanding, frus- trated child and an indifferent, distancing mother had been replicated between us, but now with role reversals: I was now in the role of the de- manding child wanting attention, while he was in the role of his indif- ferent, aloof mother. This short summary illustrates the effort to diagnose the predomi- nant internalized object relationship enacted in the transference: the pa- tient’s frustrated and demanding aspect of his infantile self and the corresponding indifferent and rejecting aspect of his mother.

This rela- tionship was enacted and then reenacted with role reversal that would permit the patient, through interpretation of this repetitive activation, to become aware of the importance of that unresolved conflict in his mind and in his present relationship with me. As part of this process, he became aware of and resolved his unconscious identification with both self and object in this activated dyadic relationship. This relationship was an important component of his tendency to abandon his studies and finding them to be an imposition, his resentment of the teachers’ per- ceived lack of interest and concern, and his provocative efforts to obtain a particular professor’s attention that were being undermined by the ir- ritation he was causing.

All these various aspects of the patient’s difficul- ties at school were now represented in the activation of this particular object relationship, which I was able to help the patient realize was in fact a distortion of reality. It gradually became clear to him that the teacher was neither as rejecting nor as demanding as the patient per- ceived and that his own behavior had provoked the professor to react to him in an irritated and sometimes rejecting way. At the same time, the patient was aware that I was interested in him and that, by his coming to the sessions, carrying out free associations, and being open to an exchange with me, a reality of a cooperative rela- tionship was evolving that corresponded to my role, the patient’s role, his interest in getting help and learning in the treatment, and my con- cerned efforts to help him know himself and the nature of his difficulties.

Otto F. Kernberg, M.D. Director, Personality Disorders Institute, New York Presbyterian Hospital, Westchester Division Professor of Psychiatry, Weill Medical College of Cornell University Training and Supervising Analyst, Columbia University Center for Psychoanalytic Training and Research Note: The authors have worked to ensure that all information in this book is ac- curate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consis- tent with standards set by the U.S.

Food and Drug Administration and the gen- eral medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these rea- sons and because human and mechanical errors sometimes occur, we recom- mend that readers follow the advice of physicians directly involved in their care or the care of a member of their family.

Books published by American Psychiatric Association Publishing represent the findings, conclusions, and views of the individual authors and do not neces- sarily represent the policies and opinions of American Psychiatric Association Publishing or the American Psychiatric Association. If you wish to buy 50 or more copies of the same title, please go to www.appi.org/specialdiscounts for more information. Copyright © 2023 American Psychiatric Association Publishing ALL RIGHTS RESERVED First Edition Manufactured in the United States of America on acid-free paper 26 25 24 23 22 5 4 3 2 1 American Psychiatric Association Publishing 800 Maine Avenue SW, Suite 900 Washington, DC 20024-2812 www.appi.org Library of Congress Cataloging-in-Publication Data Names: Kernberg, Otto F., 1928- author.

| American Psychiatric Association Publishing, issuing body. Title: Hatred, emptiness, and hope : transference-focused psychotherapy in per- sonality disorders/ by Otto F. Kernberg. Description: First edition. | Washington, DC : American Psychiatric Association Publishing, [2023] | Includes bibliographical references and index. Identifiers: LCCN 2022013016 (print) | LCCN 2022013017 (ebook) | ISBN 9781615374618 (paperback) | ISBN 9781615374625 (ebook) Subjects: MESH: P ersonality Disorders—therapy | Psychotherapy—methods | Transference, Psychology | Object Attachment Classification: LCC RC554 (print) | LCC RC554 (ebook) | NLM WM 190 | DDC 616.85/81—dc23/eng/20220412 LC record available at https://lccn.loc.gov/2022013016 LC ebook record available at https://lccn.loc.gov/2022013017 British Library Cataloguing in Publication Data A CIP record is available from the British Library.

This is a short excerpt from the opening of “” by Unknown, quoted for review and introduction purposes. All rights belong to the copyright holders.

Book Information

• Unique ID: dd39edfd18fc6819
• File Extension: .pdf
• File Size: 4,462,912 bytes (4.256 MB)
• Title: –
• Author: Unknown
• ISBN: 9781615374618, 9781615374625
• Pages: 279
• Language: English (en)

Reading & Word Statistics

• Estimated Reading Time: 546.32 minutes
• Total Words: 109,264
• Total Characters: 758,311
• Average Words per Page: 391.63
• Average Characters per Page: 2717.96

Most Frequent Words

psychoanalytic (522), transference (491), personality (462), treatment (433), patients (418), patient (410), group (346), object (326), therapist (279), self (269), relationship (263), patient’s (259), relations (249), experience (232), tfp (227), development (219), between (216), unconscious (206), analysis (202), social (201), psychoanalysis (195), life (188), disorders (187), severe (182), love (167), behavior (165), conflicts (164), new (163), also (161), dominant (159), affective (157), affect (149), kernberg (147), work (147), psychotherapy (145), sexual (145), countertransference (145), emptiness (143), hatred (142), reality (141), time (139), specific (139), one (139), hope (137), therapeutic (137), theory (137), others (136), part (135), psychotic (130), narcissistic (130), technique (129), developments (128), sense (127), training (126), experiences (126), technical (125), approach (124), schizoid (122), important (122), organization (118), defensive (115), standard (112), early (112), structure (111), emotional (110), large (108), aspects (108), intense (106), general (104), within (104), relationships (104), significant (103), basic (103), borderline (102), disorder (102), well (101), activation (100), capacity (99), situation (99), against (96), negative (95), process (94), internalized (92), particularly (91), particular (90), tion (90), interpretation (90), psy (89), able (87), nature (85), structures (84), pathology (84), case (84), leadership (83), first (82), present (82), aggression (82), individual (81), corresponding (81), lack (81).

PDF Download