Customer Service | Help | FAQ | Report a Data Error | About
Tip: To search for a specific phrase…

PEP-Web Tip of the Day

Did you write an article’s title and the article did not appear in the search results? Or do you want to find a specific phrase within the article? Go to the Search section and write the title or phrase surrounded by quotations marks in the “Search for Words or Phrases in Context” area.

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

Levine, H.B. (2013). Primitive Agony and Symbolization. By René Roussillon. London: Karnac, 2011. 250 pp.. Psychoanal Q., 82(2):511-518.

(2013). Psychoanalytic Quarterly, 82(2):511-518

Book Reviews

Primitive Agony and Symbolization. By René Roussillon. London: Karnac, 2011. 250 pp.

Review by:
Howard B. Levine

Green once observed that the clinical realities that led Freud to recognize the existence of the areas of the mind that lay beyond the pleasure principle—i.e., unconscious guilt, pathological narcissism, masochism, and various forms of negative therapeutic reaction—and that necessitated introduction of the structural theory brought about a

… dispersion, or even fragmentation of psychoanalytic thought into many opposing theories (ego psychology, Kleinism, Lacanism, Bionian, Winnicottian and Kohutian, etc.) … all [of which could] be interpreted as attempts to propose a solution to the limitations of the results of classical treatment.

Contemporary analysts continue to be confronted by these limitations as the expanding frontiers of our field have brought us into contact with increasing numbers of “widening-scope” patients, whose pathologies lie at or even beyond the borders of our theoretical formulations and therapeutic reach. The challenges they present are so fundamental and critical that the current crisis of psychoanalysis, and perhaps even the ultimate survival of our field, may well turn upon the extent to which our clinical understanding can be extended to encompass a treatment of these patients that is both truly effective and consistently psychoanalytic.

With so much at stake, it is gratifying to be able to report that, in Primitive Agony and Symbolization, René Roussillon addresses these problems in a way that is lucid, persuasively argued, and grounded in solid


1 Freud, S. (1920). Beyond the Pleasure Principle. S. E., 18.

2 Freud, S. (1923). The Ego and the Id. S. E., 19.

3 Green, A. (2005). Key Ideas for a Contemporary Psychoanalysis. New York: Routledge, p. 47.

4 Green, A. (2011). Illusions and Disillusions of Psychoanalytic Work. London: Karnac.

- 511 -

[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.