Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
Tip: To download the bibliographic list of all PEP-Web content…

PEP-Web Tip of the Day

Did you know that you can download a bibliography of all content available on PEP Web to import to Endnote, Refer, or other bibliography manager? Just click on the link found at the bottom of the webpage. You can import into any UTF-8 (Unicode) compatible software which can import data in “Refer” format. You can get a free trial of one such program, Endnote, by clicking here.

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

Garza-Guerrero, C. (1988). Ego and Superego Alterations in Borderline Structures: Their Effect on the Process and Outcome of Treatment. Int. J. Psycho-Anal., 69:205-220.

(1988). International Journal of Psycho-Analysis, 69:205-220

Ego and Superego Alterations in Borderline Structures: Their Effect on the Process and Outcome of Treatment

César Garza-Guerrero


The intermediate variable establishing the link between pathological structural alterations and aetiopathogenic factors, whether constitutional or acquired, might correspond to mental substructures derived from defensively altered and pathologically internalized object relations. Some basic postulates, connected to this central thesis, guided a brief, introductory critical review of two controversial areas in the treatment of borderline structures: (a) the relationship between mental models and developmental theories and (b) the relationship between mental models and therapeutic approaches. Since the axis of this paper centred around the limitations determined by structural alterations produced by defences, I then outlined some aspects of the treatment of a patient with severe character pathology, laying particular stress on: (a) the clinical manifestations of ego and superego alterations and their influence on the process and outcome of treatment; (b) the impediments and complications stemming from early superego precursors, with reference, in particular, to the therapeutic frame and psychoanalytic tactics; and, finally (c) the limitations and vicissitudes of the interplay of specific and diatrophic (non-specific) aspects of the analytic work in the task of promoting emotional growth.

[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.