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(1960). Journal of the American Psychoanalytic Association. VI, 1958: Superego, Introjected Mother, and Energy Discharge in Schizophrenia: Contribution from the Study of Anterior Lobotomy. Eugene B. Brody. Pp. 481-501.. Psychoanal Q., 29:431-432.
Psychoanalytic Electronic Publishing: Journal of the American Psychoanalytic Association. VI, 1958: Superego, Introjected Mother, and Energy Discharge in Schizophrenia: Contribution from the Study of Anterior Lobotomy. Eugene B. Brody. Pp. 481-501.

(1960). Psychoanalytic Quarterly, 29:431-432

Journal of the American Psychoanalytic Association. VI, 1958: Superego, Introjected Mother, and Energy Discharge in Schizophrenia: Contribution from the Study of Anterior Lobotomy. Eugene B. Brody. Pp. 481-501.

Eleven schizophrenic patients, six male and five female, all chronically ill with paranoid symptoms, were studied before and after a minimal lobotomy to determine the relation of energy discharge to psychic structure in schizophrenia. Psychological tests after operation indicated no organic brain defects, and one year postoperatively eight of the eleven patients were at home, some gainfully employed. Psychotherapy was given before and after operation. After operation aggressive discharge was less intense and better organized and the patients were less afraid of losing control of their impulses; useful aggressiveness became possible. Rigid superego was relaxed, leading to more energy discharge via laughter, joking, and instinctual gratification. Postoperatively males showed less guilt over incestuous desires and females had less homosexual anxiety and less disgust regarding sexual matters. Dreams became more effective discharges of excitation from the unconscious, and sleep was more easily achieved. Less concern over ego identity led to diminished anxiety over the wish for oral reunion with the mother, a problem which had produced tremendous defensive reactions preoperatively. The rejecting, prohibiting, introjective mother seen by the schizophrenic became less of a persecutor and allowed libidinal and aggressive gratifications. The ability to accept oral reunion with the mother seems to be a regression from a more differentiated superego to a simpler narcissistic ego ideal.

The schizophrenic psychotic apparatus is an energy system with limited capacities

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for discharge from the system into the environment and within the system itself, the limiting factor being a pathological superego which functions as a foreign body within the psychic system. It is hypothesized that after lobotomy the superego is disrupted, more energy discharge by gratification of previously denied wishes is possible, and there is better superego fusion. In symbolic terms this is equivalent to a state of relative unity with the mother, something which the schizophrenic had always wanted but defended himself against because of its threat to his identity. In this sense he has become a more successful schizophrenic.

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Article Citation

(1960). Journal of the American Psychoanalytic Association. VI, 1958. Psychoanal. Q., 29:431-432

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