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(1959). Journal of the American Psychoanalytic Association. III, 1955: A Problem in Psychoanalytic Technique. Frederic G. Worden. Pp. 255-279.. Psychoanal Q., 28:560-561.
Psychoanalytic Electronic Publishing: Journal of the American Psychoanalytic Association. III, 1955: A Problem in Psychoanalytic Technique. Frederic G. Worden. Pp. 255-279.

(1959). Psychoanalytic Quarterly, 28:560-561

Journal of the American Psychoanalytic Association. III, 1955: A Problem in Psychoanalytic Technique. Frederic G. Worden. Pp. 255-279.

Worden gives a detailed report of analytic work with a 'borderline' patient, illustrating in particular the problems of interpretation when little observing ego is present. His preliminary discussion is thought-provoking; it relates to the problem of introducing parameters into the classical analytic procedure while working with patients with defective ego functioning. The young woman patient was extremely difficult to treat. Because of the chaotic and stormy course of her life and of the analysis, Worden, finding his interpretations ineffective, used various parameters. When he was finally able to aim his interpretations so that they facilitated and supported her ego's capacity to observe and collaborate analytically at the level of secondary process thinking, there was a dramatic change in the course of her analysis and life. Her erratic behavior and lack of reality testing were found to operate as defenses against intense guilt which she had to avoid feeling and knowing about. Worden then directed his interpretations systematically to this defensive activity. He believes that he assisted her in

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a psychosynthesis which she was not capable of alone, but indicates that his initial appraisal of the degree of ego defect was exaggerated and seems to imply that the parameters he had used were not necessary.

The abstractor wonders if Worden is not being a little unfair to himself. Perhaps some of the parameters were used in desperation and were unwise, but would this type of later interpretation have been so effective if he had not initially given to this disturbed patient more of himself than a classical approach permits?

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Article Citation

(1959). Journal of the American Psychoanalytic Association. III, 1955. Psychoanal. Q., 28:560-561

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