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Zimmer, R. (2003). Perverse Modes of Thought. Psychoanal Q., 72(4):905-938.

(2003). Psychoanalytic Quarterly, 72(4):905-938

Perverse Modes of Thought

Richard Zimmer, M.D.

Subtle, nonpsychotic disturbances in thinking may cause significant impairment of intellectual functioning and interfere with a patient's capacity to make use of psychoanalytic treatment. As these come under interpretive scrutiny, the intellectual exchange between patient and analyst may emerge as a theater for the enactment of perverse sexual fantasies. In this paper, the author describes these disturbances in thinking and proposes a model that explains their underlying structure and their link to the associated fantasies. Interpretation and working through of the condensed part-object and whole-object transferences that emerge in the analysis of these forms of thinking may lead to some measure of clinical improvement.

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