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By Michael Worlitschek

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Example text

2005, Psychoanalytic Psychology, 22, p. 327 (with permission from the American Psychological Association). “rediscovered” and “packaged” in a different form. I provide three examples of this. First, there is dialectical behavior therapy (DBT; Linehan, 1993), which is a cognitive-behavioral, therapeutic approach for patients diagnosed with borderline personality disorder. DBT targets borderline patients’ use of splitting and other maladaptive coping mechanisms, their poorly developed sense of self and relatedness to others, and the inability to manage and regulate distressing emotions.

I provide three examples of this. First, there is dialectical behavior therapy (DBT; Linehan, 1993), which is a cognitive-behavioral, therapeutic approach for patients diagnosed with borderline personality disorder. DBT targets borderline patients’ use of splitting and other maladaptive coping mechanisms, their poorly developed sense of self and relatedness to others, and the inability to manage and regulate distressing emotions. The language used to describe these behaviors and mechanisms—and the skills needed to become more healthy—are conceptually the same as those provided by many prominent psychoanalysts (Adler, 1985; Grinker, Werble, & Drye, 1968; Kernberg, 1975) and include things such as immature defenses, poorly developed object relations, and poor frustration tolerance.

In less severe forms of psychopathology, such as the neuroses, patients’ reality testing is intact, and it is the undue influence of the superego that contributes to the production of symptoms leading to distress or dysfunction. 2. This skill was so well developed, in fact, that Solms (2002, p. indd 36 8/28/08 8:43:14 PM 3 The Evolution of Theory I Drive, Ego, Object, and Self1 Psychoanalytic theory has evolved since Freud. Some of his ideas are no longer central within psychoanalytic and psychodynamic theory, while many others have become further elaborated and understood.

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