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• W4300784702 abstract "Back to table of contents previous chapternext chapter No AccessChapter 3.Clinical Psychodynamics Within the Framework of Object Relations Theory: Conflict, Anxiety, Defense, and Internal Object RelationsConflict, Anxiety, Defense, and Internal Object RelationsEdited by:https://doi.org/10.1176/appi.books.9781615373529.ec03AboutSectionsView chapterExcerptView Full Text ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View chapterSectionsPsychological Conflict Within the Framework of Object Relations Theory | Psychological Conflicts, Anxieties, and Level of Personality Organization | Internal Object Relations, Defense, and Level of Personality Organization | Defense Within a Single Object Relation: Neurotic Projection, Projective Identification, and Role Reversals | Anxieties and Conflicts Central to the Treatment of Personality Disorders: Paranoid and Depressive Anxieties and Oedipal Conflicts | Ambivalence, Integration, and Structural Change | ReferencesExcerptup to this point in the book, we have focused diagnostic and structural perspectives on personality disorders within the framework of object relations theory. We turn now to dynamic perspectives, focusing on the nature of the psychological conflicts that characterize personality disorders at different levels of severity and on the relationship among internal object relations, defense, and conflict. In the transference-focused psychotherapy—extended (TFP-E) model of treatment, the therapist links the progressive integration of internal object relations and structural change to the working through of psychodynamic conflicts motivating pathogenic defensive operations, focusing on the role of anxieties that interfere with integrative processes. As anxieties are contained and worked through, the patient relinquishes maladaptive defenses, takes responsibility for conflictual motivations, and comes to tolerate ambivalence. These dynamic shifts correspond with identity consolidation, the attainment of higher levels of personality organization, and decreased personality rigidity. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Institutional Login Sign in via OpenAthens Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited byNone Psychodynamic Therapy for Personality Pathology Information©American Psychiatric Association Publishing History Published online 31 May 2020 Published in print 18 April 2018" @default.
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• W4300784702 title "Clinical Psychodynamics Within the Framework of Object Relations Theory: Conflict, Anxiety, Defense, and Internal Object Relations" @default.
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