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Rosenfeld, H. (1987). Impasse and Interpretation: Therapeutic and anti-therapeutic factors in the psychoanalytic treatment of psychotic, borderline, and neurotic patients. New Library of Psychoanalysis, 1:1-318. London: Tavistock.

(1987). New Library of Psychoanalysis, 1:1-318. London: Tavistock.

Impasse and Interpretation: Therapeutic and anti-therapeutic factors in the psychoanalytic treatment of psychotic, borderline, and neurotic patients

Herbert Rosenfeld


Acknowledgements vii
Part One: Introduction 2
1. A Psychoanalytic Approach to the Treatment of Psychosis 3
Part Two: the Analyst's Contribution to Successful and Unsuccessful Treatment  
2. Some Therapeutic and Anti-Therapeutic Factors in the Functioning of the Analyst 31
3. Breakdown of Communication between Patient and Analyst 45
Part Three: the Influence of Narcissism on the Analyst's Task  
4. The Narcissistic Omnipotent Character Structure: A Case Of Chronic Hypochondriasis 65
5. Narcissistic Patients with Negative Therapeutic Reactions 85
6. Destructive Narcissism and the Death Instinct 105
7. The Problem of Impasse in Psychoanalytic Treatment 133
Part Four: The Influence of Projective Identification on the Analyst's Task  
8. Projective Identification in Clinical Practice 157
9. Projective Identification and the Problem of Containment in a Borderline Psychotic Patient 191
10. Further Difficulties in Containing Projective Identification 209
11. Projective Identification and the Psychotic Transference in Schizophrenia 220
12. Projective Identification and Counter-Transference Difficulties in the Course of an Analysis with a Schizophrenic Patient 241
Part Five: Conclusion  
13. Afterthought: Changing Theories and Changing Techniques in Psychoanalysis 265
Appendix on the Treatment of Psychotic States by Psychoanalysis – an Historical Approach 281
References 321


I want here to thank particularly the members of the Publications Committee of the British Psycho-Analytical Society; Dr Ron Britton and afterwards Mr David Tuckett who helped me to reshape the chapters of the book and encouraged me to add the concluding paper.

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