Mental Illness

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By Phil Mollon

In "The Fragile Self" Dr Mollon argues that psycho--analysis calls for an sufficient thought of self on the way to deal with successfully these states of brain within which a disturbed feel of self is in demand. He discusses issues of the self from various issues of view, drawing specific awareness to the paintings of Kohut and describing its strengths and barriers. Mollon argues broader "taxonomy" of disturbances of self is needed and is going directly to increase his personal thesis that the sufferers in psychotherapy or research are usually unconsciously looking a wanted development--enhancing reaction from the therapist. The therapista s job is to acknowledge what this want is and to articulate it to the sufferer. during this method, the hitherto lonely and unreached elements of the character may be contacted amd built-in. In exploring those matters, many points of psycho--analytic approach and process are re--examined.

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The paper addresses essentially two intertwined themes: (1) the development of object libido out of ego libido; and (2) the transformation of infantile grandiosity, leading to the setting up of the ego ideal. Much of the descrip­ tion is framed in terms of an economic model, to do with the quantity and distribution of libido. Thus, self-esteem is seen as varying according to the amount of libido remaining invested in the self, megalomania occurring if there is massive withdrawal of libido from objects into the self, and low self-esteem occurring in states of unrequited love when an unusual amount of libido is invested in the object; hypochondriasis is considered to result from excessive libidinal investment in the body.

Conclusions • The existence of a ‘self ’ cannot simply be assumed. The concept requires philosophical and empirical examination. • A concept of self and an account of the development of the self is • • required in psychoanalysis because many patients manifest distur­ bances in many aspects of the experience of self which cannot easily be addressed through those theories of object relations (personal relationships) which do not also involve some account of the rela­ tionship to the self. The concept of self is used in a variety of ways, each addressing dif­ ferent aspects.

288): 1. He does to me – I suffer what he is doing to me. 2. ). 3. What did or could happen to me, I do to my impulse. 4. I control my impulse – part of me – as an ethical principle. Klein sees reversal of voice as the basis of identification – really Klein seems to mean identification with the ‘controlling other’ (p. 288): Wishing to destroy the restraint, but appreciating the danger of doing so, the child comes to turn his vengeance on that part of the self – the impulse – that provoked the restraint.

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