Customer Service | Help | FAQ | Report a Data Error | About
Tip: To sort articles by Rank…

PEP-Web Tip of the Day

You can specify Rank as the sort order when searching (it’s the default) which will put the articles which best matched your search on the top, and the complete results in descending relevance to your search.    This feature is useful for finding the most important articles on a specific topic.

You can also change the sort order of results by selecting rank at the top of the search results pane after you perform a search.  Note that rank order after a search only ranks up to 1000 maximum results that were returned; specifying rank in the search dialog ranks all possibilities before choosing the final 1000 (or less) to return.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Rosenfeld, H. (1958). Discussion on Ego Distortion. Int. J. Psycho-Anal., 39:274-275.

(1958). International Journal of Psycho-Analysis, 39:274-275

Discussion on Ego Distortion

Herbert Rosenfeld

I am very grateful to Dr. Gitelson for reporting a clinical case in such detail in his paper, so that we have a clinical basis for discussion. As our psycho-analytic science develops all over the world, the terms in which we discuss our analytic problems become increasingly varied, which leads to much misunderstanding. For example, the term ego distortion does not mean much to me, because in similar cases I am used to talking about borderline states, or borderline psychotics. I think the term narcissistic character disorder is better than ego distortion, but even the former does not make sufficiently clear to me what we are dealing with. I would prefer to describe Dr. Gitelson's case as a borderline psychosis of the schizoid type. The term schizoid implies that we are dealing with a patient who lacks emotions and who uses schizoid defence mechanisms such as splitting, denial and projection in an excessive way.

I would like to explain this in more detail. I am impressed by the very rigid personality of Dr. Gitelson's patient, who does not seem to me to be only narcissistically withdrawn from the external world but to be defending himself against psychotic anxieties of a paranoid type. Dr. Gitelson himself draws attention to the patient's paranoid anxieties and to his aggressive impulses of psychotic strength.

Generally speaking, I regard most borderline psychotic states as more or less successful defences against acute schizophrenic paranoid conditions, or they might be regarded as unsuccessful attempts to overcome infantile psychotic anxieties.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2018, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.