Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To copy parts of an article…

PEP-Web Tip of the Day

To copy a phrase, paragraph, or large section of an article, highlight the text with the mouse and press Ctrl + C. Then to paste it, go to your text editor and press Ctrl + V.

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

Durbak, C.K. (1979). Treatment of the Narcissistic Resistance in a Case of Obesity. Mod. Psychoanal., 4(2):197-206.
   

(1979). Modern Psychoanalysis, 4(2):197-206

Treatment of the Narcissistic Resistance in a Case of Obesity

Christine K. Durbak

Introduction

Obesity is one of the most difficult problems to handle and successfully treat psychotherapeutically. The psychodynamics are extremely involved due to the oral fixation and the multiplicity of ctiological factors. The dynamics involved are characterized often by an insatiable need for love and at the same time defiant and spiteful behavior. Bruch (1973) points out that although modifications in psychotherapeutic approaches were changed significantly in respect to schizophrenia, borderline states and narcissistic personalities, the concepts in treating obesity, seen as “expressions of oral dependency, incorporative cannibalism, rejection of pregnancy … still follow the classical psychoanalytic model.”

This article will discuss the dynamics of a narcissistic character disturbance, the form of which has shown itself most conspicuously in severe overweight, dating from early childhood. The focus will be on the relationship between the resolution of specific narcissistic factors and weight loss.

Theoretically, obesity represents fixation or regression to the oral phase of development, where overeating seems to relate to the repressed oral aggressive drives of the patient.

[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 © 2020, 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.