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DISCUSSION OF "DEADLOCKING AND STALEMATING: PRIMITIVE DEFENSE MECHANISMS AGAINST PROGRESSION IN PSYCHOANALYSIS," BY JOCHEN KEMPER Gilead Nachmani Dr. Kemper has presented a vivid and clinically pertinent paper. He has addressed a topic that most psychoanalysts confront when they treat patients with serious, and seemingly intractable, psychopathology. He has done so with candor and forthrightness, and without distance or intellectualization. He has raised questions from his own experience, and given clinical illustra- tions to let us know from where his experiences and questions emerge. He raises questions that are loaded. For example, what does psychoanalysis do for us, and what does it do to us? By what, criteria do we judge our own work and the progress of our patients, in particular, when our patients do not seem to get better? If they are not getting better, do we continue our work? If we continue, how do we proceed? If we proceed, by what standards and methods do we chart our lonely path? In this regard, Dr. Kemper is writing from the perspectives of Bion (1967), Meltzer (1967), Winnicott (1974), Khan (1974), Klauber (1981), and Little (1981). He has presented a case of a seriously disturbed man with experiences of
The American Journal of Psychoanalysis – Springer Journals
Published: Jun 1, 1988
Keywords: Clinical Psychology; Psychotherapy; Psychoanalysis
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