Document Detail


Why insight fails.
MedLine Citation:
PMID:  12085526     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Psychoanalysts rely on insight to promote therapeutic change. However, even when a great deal of insight has been attained, significant change may not be forthcoming in some patients, more often in borderline-level patients. The author examines such a case with particular reference to E. Kris' major points on insight, including the role of the ego's integrative functions in the attainment and utilization of insight. The author contends that failure to utilize insight is overdetermined and not necessarily owing to impairments in the integrative functions or to resistance in all its expressions. The author postulates that failure to make progress is due to a combination of the strength of the unmodulated drives, general ego weakness, poor early object relations, particularly preverbal experience, and constitution, in interaction. The whole of the personality is implicated in the inability to utilize insight.
Authors:
Lucia Imbesi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of psychoanalysis     Volume:  62     ISSN:  0002-9548     ISO Abbreviation:  Am J Psychoanal     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-06-27     Completed Date:  2003-01-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372630     Medline TA:  Am J Psychoanal     Country:  United States    
Other Details:
Languages:  eng     Pagination:  145-61     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Awareness / physiology*
Borderline Personality Disorder / therapy*
Ego
Female
Humans
Object Attachment
Psychoanalysis
Psychoanalytic Therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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