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Modern Psychoanalysis of the Schizophrenic Patient: 
Theory of the Technique

Subject Index
A B C D E F G H I J L M N O P Q R S T U V  
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A
Acting in, 147, 180
Acting out, 68, 147
Action impulses, 36, 61, 119
Action patterns, 68, 127, 148
Aggression (aggressive drive, impulses, urges), 23–27, 39–40, 52–54, 115, 138, 191, 192
        against the self, 24–25, 29, 30, 31
        aim of aggressive drive, 24, 39–40
        bottling up of. See sub Frustration-aggression
        catharsis, 142
        in clinical situation, 33–34, 42–46, 66
        constructive and destructive, 23–24
        current views on, 37–40
        defense against, 25, 35–36
        mobilization of at trauma level, 17, 31–33, 39–40
        potential for, 39, 52
        role of, in schizophrenia, 31, 34, 39–40, 102. See also Rage; Schizophrenia, nuclear problem in
Aggressive endowment, 52
Aggressively determined images, 138
Aggressivization of infant, 52
Alive (feelings), 28, 50, 51
Ambulatory treatment, 13, 17, 19, 70, 140–41
        baseline requirements for, 74–75
American Psychiatric Association, 3, 10, 155
Analyst as separate object, 5, 70, 104, 105,145, 198
Analyst’s shortcomings, 186, 206
Analytic cure, 6, 8, 17, 62, 185. See also Cure
Analyzability, 20n, 37, 43
Anger, 29, 52, 90, 102, 106, 150n, 204
Anxiety, 23, 25, 68, 100, 141, 142, 167–168, 170
        couch as a haven from, 81
        level, 121
        retaliation, 26
Aversion, 167, 170

B
“Baby sitting,” 84
Behavioral change, 62, 115, 126–127, 199, 205
        from rage-withdrawal to rage-combat pattern, 149–150
        neural events implicated in, 62–63, 65
Body-ego, 21
Body language, 103
Body self, early sense of, 50
Borderline patient(s), 15–16, 37, 137–138 
        clinical functioning of, 37–38
Boredom, 167
British Psycho-Analytical Society, 154

C
Cancellation of sessions, 89–90
Catatonic disorder (states), 11, 22, 24, 74, 77
Cathartic approach, 150n
Causal therapy, 5, 41
Cerebral hemispheres, 64
Character problems, 174
Chemotherapy. See Drug therapy
Clarification, 112
Communications of analyst, 41–42, 48, 67–71, 84, 103–104, 121, 126, 183
        in initial interview, 76–79
        maturational, 66, 180
        neurobiological formulation on, 49–71
        quantification of, 66–71
        three-fold task pursued in, 71
        to patient’s family, 80n, 92–94.
        See also Nonverbal communication; Interventions; Verbal feedings
Communications of patient, 66–67, 102, 120–121, 124, 126, 166, 196
        progressive, 113, 115, 120, 126, 168, 185, 194, 205
        repetitive, 119, 184
        symbolic, 103
        topics covered in, 124.
        See also Resistance; Transference resistance; Treatment-destructive resistance
Conflict-defense model of schizophrenia, 39
Confrontation(s), See sub Interventions
Conjoint (combined) treatment, 199. See also Group psychotherapy
Constipated rage, 34, 35. See also Rage
Construct(s), 147–148, 164. See also Reconstruction
Constructive aggression, 24, 44
Contact functioning, 116, 126, 143, 183, 204. See also Interventions.
Contract, analytic, 79–82, 93
        breach of, 79
        third-party participation in, 82
        violations of, 122
Controlling patient’s behavior, 17, 43–44
Cooperative functioning, 15, 80, 81, 94, 102, 114, 124
Couch, 4, 80–81, 90, 101, 103, 113, 115, 119, 153, 168, 181–182, 189, 196, 197, 198
        arising from early, 122, 181–182, 196, 197
        posture on, 81, 168
Counterforce to communication, 84, 112, 125
Countertransference, 3, 7, 15, 16, 37, 42, 45, 46, 113, 130, 148, 153, 175, 190, 204
        anaclitic (nurturing) type of, 166, 167, 168, 171
        analysis of, 155, 160–162, 164
        and analyst’s personality difficulties, 132, 155
        Breuer’s in case of Anna O., 156–157
        definition and scope of, 159–163
        Freud’s views on, 153, 157–159
        narcissistic. See Narcissistic countertransference
        negative, 45, 156–159
        objective, 154–156, 161–166, 180–190. See also Induced feelings
        and reconstruction, 233
        as resistance, 163. See also Countertransference resistance
        and specific transference states, 166–168
        subjective, 161–163, 164, 165.
        See also Countertransference resistance
Countertransference resistance, 7, 42, 153–154, 156–159, 160, 164, 168–173
        clues to, 168–170
        narcissistic. See Narcissistic countertransference resistance
        negative, 45, 169. See also sub Narcissistic countertransference resistance
        positive, 169
        sources of, 163, 170–173
Crying, 181, 184, 195
Cure(s), 3, 6, 8, 13–15, 17, 29, 62, 74, 77, 79, 124, 185
        patient’s theories of, 185
        process of, in neurobiological terms, 49.
        See also Analytic cure; Psychological reversibility; Recovery

D
Decisions, major, during treatment, 90, 97
De-egotization of the object, 145–146
Defense(s), 19, 25, 26 28, 29, 31, 33, 34–35, 37, 39, 46, 70, 73, 95, 104, 111–112, 118, 174, 190
        against release of mobilized aggression, 25
        earliest modes of, 26, 31–33
        emotional neutrality of analyst as, 163
        in latent cases, 33–34
        mechanisms in psychotic conditions, 19, 25–26
        paranoia as a defense psychosis, 19.
        See also Narcissistic defense
Deficiency states, 54
Deficit model of schizophrenia, 39
Delusions, 28, 29, 44–45, 51, 73, 165–166, 176
Dementia praecox, 2, 3, 5n, 21, 22, 130, 131
Dental care, 78
Dependency cravings, 49, 87, 99, 122
Depersonalization, 22, 25
Depression, 16–17, 31, 37, 99, 131, 142
Deprivation, irrational, 187, 204
Destructive aggression, 23, 24, 130, 135, 181
Devaluating the object, 190
Diagnosis. See sub Schizophrenia
Diagnostic and Statistical Manual of Mental Disorders 
DSM-I, 3, 10; DSM-II, 10; DSM-III, 11
Differentiation, emotional, 27, 46n, 107
Dopamine receptors, 59
Dozing off, 167
Dreams, 56, 60, 81, 102, 107, 117
        approach to, 117–118
        and dream state, 81, 107
        and object-ego fields, 107–108
Drives, instinctual. See Instinctual drives
Drug therapy, 12, 13
Drugs, antipsychotic, 2, 12, 13
        administration of, 13
        toxicity of, 12, 14, 17
Dynamics of personality development, 49–56
        neurobiological approach to, 49–56

E
Early ego states, 6, 21, 34, 134
Early maternal environment, 30
Echoing the ego, 189, 191
Echopraxia, 189
Eerie feelings, 101
Ego boundaries, 24, 27–28, 31, 35, 101, 102, 143
        between ego-object fields, 44–45, 106–109
Ego deficits in schizophrenia, 39, 194
Ego-dystonic impulses, 99
Ego feeling, 27, 142, 149
        pre-ego feelings, 164
Ego field and object field, 31, 44–45, 106–109, 140–141, 151, 204
        evolving from first object field, 106–107
        in narcissistic transference state, 108.
        See also De-Egotization of the object; Objectification of the ego
Ego formation, 21, 24, 27–30, 106, 145, 165–166. See also Ego field and object field
Ego nuclei, 166
Ego passage, 108n
Ego sacrifice, 29, 31
Ego-syntonic object, 6, 114, 143, 150
Ego weakness, 96
Egotization of the object (introjection), 108. See also Ego field and object field
Egotizing feelings, 184
Emotional communication(s). See sub Interventions, types of
Emotional induction, 155. See also Induced feelings
Emotional maturity, 6, 17, 49–50, 64–65, 151, 206. See also Personality maturation
Emotional neutrality, as a defense, 163
Emotional responsiveness, 163, 174–175
Emotional sacrifice of analyst, 17
Emotional stress, patient’s vulnerability to, 39, 51, 92
Environmental circumstances, 4, 92–93, 96–97. See also Resistance, external
Erratic behavior, 82, 94
Errors, 89, 90, 160, 164–165, 175
        theoretical, 1–2, 4
Etiology. See sub Schizophrenia
“Experience of satisfaction,” 32, 118
Explosive situation, prevention of, 68
Expressive psychotherapy, 8
External circumstances, 17. See also Resistance, external; Environmental circumstances.
External resistance. See sub Resistance
Extra sessions, 83, 85

F
Failure(s) in treatment, 9, 17, 75, 98, 163, 190–191
        Freud’s views on, 96
“Falling apart,” 104, 105, 120, 144, 188
Family, analyst’s contact with patient’s, 76–77, 82, 86–87, 92–94, 98
Fantasies, 22, 32, 102, 106, 108, 124, 142, 146, 147, 148, 180, 193, 204
Fees and financial transactions. See sub Treatment relationship
First International Psycho-analytic Congress, 20
Free association, 5, 63, 99, 113, 114, 181
        reformulation of fundamental rule of, 65, 80, 101, 113, 116, 121, 181.
        See also Saying everything
Frequency of sessions, 83–86
Freud’s psychology for neurologists, 55–58
        incorrectness of some theories in, 56–57
Frustration, 26–30, 39, 66 68, 103
        and ego formation, 27–31
Frustration-aggression (tension), 32, 39, 66, 103, 106, 140
        bottling up of, 34, 35, 67, 103, 123, 151
        facilitating release of, 44, 120, 127
        managing level of, 112, 115, 126
        misdirecting influence of, 68
        and resistance, 115–116, 170–171.
        See also Aggression
Frustration-tolerance, 22, 29, 84
Functional disorders, spectrum of, 51

G
Goals of treatment, 3, 6, 9, 65
        initial, of patient, 73, 83, 95
“Going crazy,” 100
Gratification needs, 50n
Grilling for evidence, 183–184
Group for the Advancement of Psychiatry, 155
Group psychotherapy, analytic, 65, 92, 103, 195, 199
Guilt (feelings), 83, 93, 99, 135, 146, 153, 175, 189n, 195

H
Hallucinations, 10, 11, 43, 74, 99, 102, 136
Hate, hatred, 21, 24, 25–26, 150, 159, 202, 203
        expression of, to patient, 158–159, 170
Freud’s views on and hypersensitivity to, 23, 42, 157–159
        in patient’s psyche, 29, 42, 99, 100, 151, 191, 192
        of self, 33, 146, 195
        as therapeutic force, 43
        verbalization of, for transference object, 150–151, 170
Health hazards for analyst, 173
Helping the ego, 194
Here and now, 46, 98, 138
        elaboration of negative transference in, 138
Homicidal maniac, 33, 93
Hopelessness (feelings), 3, 15, 16, 99, 100, 142, 167, 172, 198
Hostility, 21, 26, 42, 44–45, 101, 108, 119, 150–151, 196
Hypocritical stage, 199

I
Iatrogenic regression, 43, 68, 69, 70
Identification(s), 28, 37, 42, 107–108, 127, 134, 162, 193, 196
        and character problems, 174
        complementary and concordant, 154, 166
Immunization, 9, 11, 125, 200. See also Toxoid response
Impulses, aggressive. See Aggression
Impulses, discharge of into motor action, 68, 101
Incurability, feelings of, 1, 15, 99, 104, 146, 170, 173
Indifference, 20, 132, 167
Indirect method, 47–49, 51, 54, 179, 180–254
Induced feelings (emotions), 3, 45, 108, 163, 165–166, 170, 172–175
        communication of, 125, 163, 164–165
        nature of, 3, 16, 45, 164, 170, 174
        use of in reconstruction, 108, 148, 165.
        See also Countertransference, objective; Narcissistic countertransference 
Inhibiting action, 32–33, 118–119, 141, 143
Initial interview, 76–79
Insight, 7, 113–114, 180
Instinctual drives (impulses), 23–25, 33, 34–36
        aim of, 23
        erotic, defensive role of, 24.
        See also Aggression; Libidinal factors
Instruction to talk, See Free association
Insulation against action impulses, 36, 112
Interneuronal communication, 55
Interpretation(s), 16, 26, 113–114, 123–124, 125–127, 179, 197
        of dreams, 117–118
        Freud on, 5–7, 111
        maturational, 180, 181, 194–195, 199
        of oedipal problems, 45, 46
        on request, 180, 195
        sequence in, 179
        silent, 65n, 114, 117–118
Interruptions in treatment, 91–92, 125
Interventions (general), 68–69, 112–113, 143, 164–165, 177–181, 183, 187, 192–194
        in opening phase, 114, 116, 119–120
        parsimony in, 63, 65, 112, 177
        range of, 7, 15–16, 17, 179, 203–204
        sequence of in transference states, 195–198, 201–203
        specificity in, 16–17, 179–180, 182
Interventions, types of
        commands (orders), 179, 181–183, 196
        confrontations, 93, 112–113, 125, 126–127, 198–199
        emotional communications, 16–17, 39, 125, 126–127, 164, 172
        explanations, 126, 180, 186–187, 199
        joining, 44, 46, 125–127, 180–181, 182, 187–194, 198, 200
        maturational communication(s), 66, 179–180
        mirroring, 120, 134, 181, 187–188, 190–191, 192, 196
        psychological reflection, 44–45, 125, 126, 127, 149, 195, 202.
        See also Communications of analyst; Interpretation; Joining techniques; Toxoid response
Introjection, 106, 108, 143, 145
Irma’s dream, 158n
Irrational deprivation, 187, 204
Irresolvable conflict, 36, 140

J
Joining techniques, 187–194, 198
        ego-dystonic, 180, 188–192
        ego-syntonic, 181, 192–194, 196

L
Laboratory, patient’s body as, 71
Language and preverbal impressions, 147–148
Letter writing, 91
Libidinal factors, 20–21, 22–23, 29, 41. See also Instinctual drives
Libido theory, 23, 27
Life history, patient’s interest in, 125, 199
Life situation of patient, 17, 80, 83, 90, 127
Loss of control (fear of), 119, 133

M
Maladaptations, 28, 52, 54, 65
Maryland Psychiatric Research Center, 12
Masturbation, guilt about, 195
Maturational agent(s), 50, 54, 203
Maturational communication(s), 66–67, 180
Maturational failure, spectrum of reactions to, 51, 140
Maturational interpretation(s), 180, 181, 194, 199
Maturational need(s), 39, 50, 51, 52, 53–54
        indirect meeting of by analyst, 54, 164
Mature aggression, 31
Mature personality, 107, 205. See also Personality maturation; Recovery
Medical/dental care, 78, 89, 98
Meeting threats with threats, 189
Memory(ies), 32, 59, 95, 99, 106, 107, 116, 118, 187
        of preverbal object relations, 113
        verbalization of, 99.
        See also Reconstruction
Mental energy, 50, 60–62, 64, 65
Mind-body relationships, 56, 64–65
Modeling new behavior, 193–194
Modern indirect psychotherapy, 7
Modern psychoanalysis (operational theory), 7–9, 14–15, 16–17, 39, 64
        adherence to classical framework in, 6, 8–9
        amplification of basic theory of technique in, 16, 41–46
        application in preoedipal disorders, 39, 75, 178
        choice of name for, 7–8
        supervision in, 164, 171–173
        training in, 15.
        See also Psychoanalysis
Modified psychoanalysis, 8
Monologues, ruminative, 141
Mother-child relationship (preverbal), 25, 27–34, 35–36, 39–40, 50–54, 103, 166
Mothering urge toward patient, 166
Motor output (motility), 32–33, 44, 66, 68, 70
Murderous feelings, 43, 100, 170, 191–192

N
Narcissism, 21–22, 30–31, 35, 158
Narcissistic armor, 132
Narcissistic countertransference, 37, 45, 113, 162, 165–168
        equivalent terms for, 162
        objective type of, 148, 161–164
        subjective type of, 161, 162, 163.
        See also Counter-
        transference; Induced feelings; Narcissistic countertransference resistance
Narcissistic countertransference resistance, 109, 113, 160, 163, 164, 165–173
        analysis of, 164
        clues to, 169–170
        negative, 169–170, 172, 198.
        See also Counter-
        transference resistance; Resistance; Transference resistance, narcissistic
Narcissistic defense, 70, 71, 102, 111–112, 113, 190, 205
Narcissistic injury, 77–78, 102, 179–180, 194–195
Narcissistic needs, 137
Narcissistic neuroses, 5, 21, 132, 134
Narcissistic object, analyst as, 105, 135
Narcissistic personality disorders, 15–16, 37, 51, 158
Narcissistic transference, 6, 37, 69, 70, 108, 129–151, 161, 186
        clinical characteristics of, 138–139
        evolution of in treatment, 195–198
        implications of, for technique, 139–142
        related terms, 6, 136–137
        resistance function of, 141–142, 156
        states of: negative, 105, 115; positive, 135, 136
        therapeutic management of, 68, 69, 70–71, 129, 132.
        See also Transference; Transference resistance, narcissistic
Needs, inner, 118
Negative catharsis, 124
Negative judgment resistance, 121
Negative therapeutic reaction, 99, 114–115, 121
Neophobia, 123
Neuron(s) and interneurons as integrating unit of nervous system, 58
Neuron reserve, 60, 61, 62, 63
Neuronal pathways, activation and deactivation of, 49, 63–64
Neuronic inertia, theory of, 57
Neuroscience(s), 49, 57
        clues from, to biodynamics of schizophrenia, 49
Neuroscientific formulation on curative process, 65–71
Neurotransmitters, 59, 65
Neutralization, theory of, 26, 35
New York State Psychiatric Institute, 4, 77
Nonanalyzability. See Analyzability
Nonverbal communication, 7, 63, 92, 103, 174, 180
Normality, 1, 14, 59
Nuclear conflict in schizophrenia, 31
Nuisance, patient as, 20, 15, 167, 203

O
Object attachment(s), 22, 27, 82, 132
Object field, 106–109, 140, 149, 151. See also Ego field and object field
Object impressions (imagos). See Object representations
Object protection, 31, 33, 40, 43, 102, 109, 140
Object relations, 23, 24, 28, 113, 135, 140, 151
Object representations (imagos, impressions), 24, 34, 39, 44, 108, 138, 140, 145
Object (oedipal-type) transference. See sub Transference
Objectification of the ego, 108, 143–144
“Oceanic” feeling, 106–107
Office practice, 10, 13, 17. See also Ambulatory treatment
“Outcrazying” the patient, 191
Outpatient treatment. See Ambulatory treatment
Overevaluating the object, 189
Overstaying time, 122

P
Paradoxical intention, 180, 181
Paranoia, 20
Part-objects, 137, 147
“Patienticide”, 157n, 191–192 
Patient’s expectations, 185–186
Penalizing of patient, 89
Perceptual identity, 37
Personality development, neurodynamics of, 49–55
Personality maturation, 17, 35, 55, 94, 96, 97, 109, 124, 147, 158
Pharmacotherapy. See Drug therapy
Physical contact, 99, 122
Pre-feelings (pre-ego, undifferentiated), 6, 99, 106, 142, 145, 164
Preoedipal disorders, 16, 41, 51, 68, 94, 102, 103, 108–109, 117, 136, 140, 147–149, 163, 177, 180, 187
Primary defense, 119
Primary wishful attraction, 119
Primordial hate, 26
Prognosis. See sub Schizophrenia
Progressive language discharge, 104, 105. See also Communications of patient, progressive
Projection(s), 20, 27, 106, 108
Projective identification, 143, 144, 163, 200
Promises of successful outcome, 79
Psychic energy. See Mental energy
Psychoanalysis (method), 1, 7, 8, 14–5, 16–17, 25–28, 39–40, 41, 48–49, 64, 75, 96, 113, 153, 162, 177, 206
        application in schizophrenia, 1–17, 42
        definition of (Freud’s), 8
        goals of, 1. See also Analytic cure; Personality maturation
        influence of on central nervous system functioning, 49
        modern. See Modern psychoanalysis
        and physical science, resemblances, 47–48
Psychoanalysis with parameters, 8
Psychoanalytically oriented psychotherapy, 8
Psychogenic illness, 8, 51, 109
Psychological medicine, words as, 49
Psychological murder, 34
Psychological reflection. See sub Interventions, types of
Psychological reversibility, 9, 11, 17, 19, 28, 29, 37, 49, 51, 109. See also Cure; Recovery
Psychological tests (testing), 77–78, 205
Psychoneurosis, 5, 19–20, 41–42, 51, 131, 141
Psychoneurotic patient, 36, 42, 45, 68, 112, 149
Psychosis (psychotic disorder) 10–11, 14, 19, 24, 26, 27, 28, 29, 30, 33, 37, 51, 60–62, 64, 102, 107, 109, 114, 116, 132, 156
        basic function of, 30
        defense mechanisms in, 24–25.
        See also Narcissistic defense
Psychosomatic (psychobiological) conditions, 8, 17, 51, 109, 173

Q
Quantitative approach to communication, 66–71
Questions, 77, 78, 91, 93, 116, 117, 120, 121, 122, 124, 148, 150, 170, 179, 183, 186, 188, 194, 196, 197, 199, 201–203
        countering questions, 195
        about delusional ideas, 183–184, 197
        ego oriented, 185–186
        factual, 183, 188
        object-oriented, 103, 120, 143, 184, 201.
        See also Contact functioning

R
Rage, 24, 28, 29, 30, 32, 34, 36, 37, 39, 45, 102, 106, 133, 144, 147, 148, 151, 167, 195, 204
        constipated, 34, 35
        narcissistic, 23, 30–31, 43–44, 168
        removing obstacles to discharge of, 36
Reaction-formation, 177
Reconstruction, 108, 117, 144, 147–149, 164, 165, 203, 204
Recovery, 2, 11, 13, 15, 17, 35, 45–46, 64, 79, 151, 205–206. See also Cure; Personality maturation
Referrals, 78, 92
Regression, 10–11, 15–16, 19, 21, 26, 34, 35, 37, 102–103, 133, 196
        control of, 102, 116
        defensive, 28, 102–103, 116, 143. See also Narcissistic defense
        iatrogenic, 43, 68, 70
Repetition compulsion, 99, 130
Repression, 19–20, 21, 41, 52, 99
Resistance, 5–7, 8, 45, 62, 66–71, 87–88, 92, 95–109, 111–127, 153, 156, 178–179
        arousal of, 115, 119, 125, 182
        classification of by Freud, 99–100
        communication function of, 96–98
        controlling intensity of, 67, 69, 125
        and counterforce to communication, 67, 84, 112, 121–122, 125
        counter-resistance. See Countertransference resistance
        dealing with, 75–76, 95, 103–104, 111–127, 187
        and defense, 70, 95, 104, 112, 126, 190
        definitions of, 95–96
        early patterns of, 80–92, 100–101, 120, 141
        of ego (repression), 99, 101, 115
        external, 96–98
        of id (repetition compulsion), 99–100, 115
        of idealization, 135
        influencing one pattern of, 201–203
        inner (internal), 99–100
        interpretation of. See Interpretation
        negative judgment pattern of, 121
        in neurophysiology, 66
        personality fragmentation, patterns of, 102, 116, 120, 125, 127
        in physical science, 48
        preanalytic, 73, 76, 100–101
        preoedipal, 103, 182, 187–188, 195
        priorities in dealing with, 116–117
        in psychoneurotic patient, 41–42, 112, 113
        quantitative approach to, 112
        recodification of permissible responses to, 7
        recognition and understanding of, 195–109, 125
        and regression, 102–103, 112, 116
        of repression, 99
        resolution of (steps in), 66, 70–71, 111–112, 125–127, 165, 205
        secondary gain, 99
        of silence, 119, 121
        special manifestations of, in schizophrenia, 100–103
        status quo (inertia), 117, 122–123
        superego, 99, 115, 150
        stonewall, 180
        symptoms as, 101, 113
        to termination, 42, 46, 117, 124–125
        transference. See Transference resistance
        treatment-destructive patterns of. See Treatment-destructive resistance
        to use of couch, 101
        working through of, 42, 112–113, 124–125, 181–182
Resistance analysis, 8
Restitutio ad integrum, 2
Restitutio quo ante, treatment oriented to, 14
Restitutional symptoms, 22, 36
Retaliation anxiety, 26
Revulsion, analyst’s feeling of, 167
Right to resist, 111
Rudimentary phase of relationship. See Treatment relationship

S
Safeguards against explosive behavior, 43–45, 81
Saturating with suggestions, 188–189
Saying everything, 57, 113, 115, 197
Saying “the wrong thing” to patient, 171
Schizophrenia, 1–4, 19–23, 31, 34, 36, 37, 40, 49, 59, 95, 99, 101, 164
        amplification of psychoanalytic technique in treatment of, 41–46
        analytic task in treatment of, 36
        analyzability of (early views on), 1–2, 5
        chemotherapy in, 12–13, 17
        contemporary models of, 37–39
        and defense. See Narcissistic defense
        diagnosis of, 9–12, 17, 76–78
        etiology of, 1–2, 13–14, 27–30, 31, 39, 52
        nuclear problem in (working hypothesis), 19, 31–34
        prognosis in, 2–3, 12–15, 17, 17
        psychological reversibility of. See Psychological reversibility
        recovery from (essence of), 13, 205–206.
        See also Treatment relationship
Schizophrenic associations, 116
Schizophrenic reaction(s), 3, 9–10, 33, 34, 65, 108, 115, 131, 139, 147, 200, 204. See also Schizophrenia
Schizophreniform and schizoaffective disorders, 11
Self-analysis, 75, 112, 161, 164, 165, 199
Self-attacking attitudes, 33–34, 44, 105, 167, 189
Self-command, 174–175
Self-love, 24, 26, 35
Self-neglect, 97–98
Selfobject(s), 21, 44–45, 46n, 137, 147, 165–166
Selfobject transference, 6, 138
Self-propelled discharge, 65
Self-torture pattern, 102, 200–201
Sensations, 27–28, 51, 60, 63–64, 101, 105, 108, 129, 142, 144
Sense of danger, 168
Sense of satisfaction, 60, 167
Sense of self, 51, 54, 137
Sensory deprivation, 39–40, 60, 66, 68
Separate object, analyst as, 5, 70, 104, 105, 145, 149, 202
Separation-individuation, 6, 27, 46n, 106–107
Sessions, frequency of, 83–86
Sexual impulses and feelings, 19–20, 26, 41, 99, 101, 106, 136, 146, 149, 150, 156
Silence, 67, 177, 178
        of analyst, 65, 68, 121, 177, 178
        of patient, 66, 84, 120, 121, 141, 182
Silent analysis, 46, 65n, 114, 115, 117
Silent interpretation, 65n, 114
Smoking, 33, 90, 141
Speech, (speech apparatus), 36, 63, 114, 177
Spite, 15, 132
Strategic dictator, analyst as, 81
Stress-diathesis model, 37–38
Stress, patient’s vulnerability to, 39, 60, 92, 115, 125, 200
Student analyst, problems of, 98, 168–173, 204. See also Countertransference resistance; Induced feelings
Suicidal urges and thoughts, 33, 34, 93, 97, 106, 145, 151, 167, 191–192
Supervision, major concerns in, 160, 164, 171–173, 197
Supportive psychotherapy, 8, 39, 54
Symbiotic relatedness, 162
Symbolic communication, 16, 92, 103
Symbolic destruction of object, 36
Symbolic gratification, 54, 120
Symposium on Infant Psychiatry, 50
Symptomatology, 10–11, 12, 15, 19, 22, 37, 51, 74, 77, 156
Synaptic activity, 59

T
Talion principle, 151
Talking out, 105, 106, 125–126, 185
Tardiness, 81, 101, 115, 122
Technique, amplification of theory of, 41–46
Telephone calls, 91, 92, 122
Telephone therapy, 92
Termination, 42, 80, 117, 124–125
Therapeutic alliance, 16, 74, 131. See also Working alliance
Therapeutic leverage, 37, 45, 154, 163, 165, 170
Therapeutic negativism, 2
Therapeutic strategy, patient’s interest in, 90, 199
Toxoid response, 200–201. See also Immunization
Training, in modern psychoanalysis, 14–15, 171–172
Transference, 5–6, 20–21, 30, 37, 67, 78, 86, 95, 156–157, 159–160
        anaclitic, 166–167
        behavior in neurodynamic terms, 63–65
        capacity for, 5–6, 141
        charging of defenses with, 66
        continuum of transference states, 140
        convincing patient of, 131
        delusional, 137
        dissolution of, 151, 187
        externalizing, 136
        Freud’s views on, 129–132
        hatred, 150–151, 157, 171. See also Transference, negative
        levels of, 136
        love, 41, 157. See also Transference, positive
        management of, 131, 132, 142–150
        narcissistic. See Narcissistic transference
        negative, 42, 43–44, 114–115, 130–131, 133, 138, 149
        object (oedipal), 5–6, 43, 45–46, 70, 104–105, 108, 126, 134, 141–143, 149–150, 198, 199, 203
        oscillating states of, 16, 133–134, 146–147, 186, 198–199, 202–203
        positive, 43, 45, 114, 123, 11, 133, 157
        primitive/primordial, 136
        prototype of, 156
        psychosis, 37, 135, 137, 140
        restitutive function of, 132–133
        special problems in, 150–151
        tempo of development of, 44, 146–147, 160.
        See also Narcissistic transference; Transference resistance
Transference cure, 62
Transference neuroses, 5, 134, 135–139
Transference object, 43, 69, 109, 114, 124, 136, 139, 140, 142–145, 149, 150–151, 163, 187
        ego-syntonic, 6, 135, 150
Transference psychosis. See sub Transference
Transference resistance, 41–42, 100, 101, 103–106, 115, 117, 120, 126, 127, 131, 147, 151, 160, 181, 194
        narcissistic, 44–46, 105–106, 141, 187–188, 195–199, 204–205
        object, 41–42, 46, 104–105, 198–200.
        See also Narcissistic transference; Transference
Traumatic psychosis, 28
Treatment contract. See Treatment relationship; Contract
Treatment-destructive resistance, 83, 87–88, 115, 116–117, 119, 123, 141
        clues to, 120–122
        controlling intensity of, 112–113, 115, 125
        disappearance of, 127
Treatment relationship (alliance), 17, 51, 54, 73–94
        analyst’s responsibility for formation of, 74–75
        attitudes of analyst in, 174–175, 186–187
        changing goals of patient in, 73–74
        concept of cooperative functioning in, 15, 81, 94, 124
        contact with patient’s family, in, 80n, 93–94
        contract for, 79–82, 83, 88, 94, 122, 124
        duration of, 79, 86
        fees and financial transactions in, 83, 86–90
        frequency of sessions in, 83–86
        general attitude toward rules in, 90–91
        initial interview for, 76–79, 84
        interruptions in, 91–92, 125
        optimal intensity of, 86
        and patient’s behavior outside office, 90, 197
        session cancellations and extra sessions in, 85, 89–90
        special demands on analyst in, 41, 44, 46, 84
        trial period in, 79
        vacation periods, 91–92, 125

U
Undifferentiated feelings, 6, 31, 106, 145, 148. See also Pre-feelings
Unlearning, 7

V
Vacation periods, 91–92, 125
Verbal feedings, 65, 66, 69, 70, 104, 105, 179, 196
        on self-demand, 69, 103–104, 183.
        See also Contact functioning
Verbal starvation of resistance, 125–126
Verbalization, 66, 103, 105, 113–114, 115, 118

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