Customer Service | Help | FAQ | Report a Data Error | About
Tip: To see author affiliation information in an article…

PEP-Web Tip of the Day

To see author affiliation and contact information (as available) in an article, simply click on the Information icon  next to the author’s name in every journal article.

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

Bell, D. (1996). Primitive Mind of State. Psychoanal. Psychother., 10(1):45-57.

(1996). Psychoanalytic Psychotherapy, 10(1):45-57

Primitive Mind of State

David Bell

This paper examines the introduction of the Market into the National Health Service, viewing it within the perspective of the destruction of the Welfare consensus. It is suggested that the ideology of the Market and the attack on welfare-ism derives considerable support from their appeal to primitive parts of the personality that view dependency or vulnerability as weakness, the process originally described by Rosenfeld who termed it ‘destructive narcissism’. The paper develops this theme and uses a clinical example to illustrate the phenomenon. It is also suggested the NHS reforms create fragmentation and alienation. This has led to primitive survivalism which, although a natural outcome of the process described, will prove very costly in terms of its effects on morale — an essential component of adequate health-care delivery.

[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.