Impasse And Interpretation: Therapeutic And Anti-therepeutic Factors In The Psychoanalytic Treatment Of Psychotic, Borderline And Neurotic Patients (the New Library Of Psychoanalysis)

Impasse and Interpretation THE NEW LIBRARY OF PSYCHOANALYSIS The New Library of Psychoanalysis was launched in 1987 in association with the Institute of Psycho-Analysis, London. Its purpose is to facilitate a greater and more widespread appreciation of what psychoanalysis is really about and to provide a forum for increasing mutual understanding between psychoanalysts and those working in other disciplines such as history, linguistics, literature, medicine, philosophy, psychology, and the social sciences. It is intended that the titles selected for publication in the series should deepen and develop psychoanalytic thinking and technique, contribute to psychoanalysis from outside, or contribute to other disciplines from a psychoanalytical perspective. The Institute, together with the British Psycho-Analytic Society, runs a low-fee psychoanalytic clinic, organizes lectures and scientific events concerned with psychoanalysis, publishes the International Journal of Psycho-Analysis and the International Review of PsychoAnalysis, and runs the only training course in the UK in psychoanalysis leading to membership of the International Psychoanalytical Association–the body which preserves internationally agreed standards of training, of professional entry, and of professional ethics and practice for psychoanalysis as initiated and developed by Sigmund Freud. Distinguished members of the Institute have included Michael Balint, Wilfred Bion, Ronald Fairbaim, Anna Freud, Ernest Jones, Melanie Klein, John Rickman, and Donald Winnicott. Volumes 1–11 in the series have been prepared under the general editorship of David Tuckett, with Ronald Britton and Eglé Laufer as associate editors. Subsequent volumes are under the general editorship of Elizabeth Bott Spillius, with, from Volume 17, Donald Campbell, Michael Parsons, Rosine Jozef Perelberg, and David Taylor as associate editors. NEW LIBRARY OF PSYCHOANALYSIS 1 General editor: David Tuckett Impasse and Interpretation Therapeutic and anti-therapeutic factors in the psychoanalytic treatment of psychotic, borderline, and neurotic patients HERBERT ROSENFELD HOVE AND NEW YORK First published 1987 Tavistock Publications Ltd Simultaneously published in the USA and Canada by Routledge 29 West 35th Street, New York, NY 10001 Brunner-Routledge is an imprint of the Taylor & Francis group This edition published in the Taylor & Francis e-Library, 2004. © 1987 Herbert Rosenfeld All rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data A catalogue record for this book is available from the British Library ISBN 0-203-35888-0 Master e-book ISBN ISBN 0-203-37144-5 (Adobe eReader Format) ISBN 0-415-01012-8 (Print Edition) Contents Acknowledgements vii Part One: Introduction 1 A psychoanalytic approach to the treatment of psychosis 3 Part Two: The analyst’s contribution to successful and unsuccessful treatment 2 3 Some therapeutic and anti-therapeutic factors in the functioning of the analyst 31 Breakdown of communication between patient and analyst 45 Part Three: The influence of narcissism on the analyst’s task 4 The narcissistic omnip