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Pieczanski, A. (2017). Hysteria, A Century Later: Post-Kleinian Theory and Technique. Psychoanal. Inq., 37(2):102-111.

(2017). Psychoanalytic Inquiry, 37(2):102-111

Hysteria, A Century Later: Post-Kleinian Theory and Technique

Alberto Pieczanski, M.D.

Freud developed many of his theories and technique while attempting to help hysterical patients. This article approaches hysteria not just as a syndrome consisting of a group of signs and symptoms, but primarily as an inner world configuration that fuels object relations patterns. The internal world hysterical profile informs the transference/countertransference experience and the therapeutic process. I attempt to describe some of the technical problems psychoanalysts have to deal with while working with these patients. Hysterical object relations do not necessarily manifest themselves as somatic symptoms—epileptic-like, paralysis, blindness, etc.—even in patients that show the relational hysterical patterns. These object relations modes can appear in any analysis irrespective of the primary diagnostic conceptualization.

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

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