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292 BOOK REVIEWS In the introduction and in Chapter 1, Kavaler-Adler clearly and fully describes her theory of psychic regret. In Chapters 2 through 7, she provides lively clinical examples from her work with a wide variety of patients with diverse psychic structures and personality dynamics. For these patients, dealing with psychic regret was a turning point in their analyses, as they were finally able to make peace with internalized objects and intimate others they had alienated. Helping patients to face regrets is not easy. As these case examples clearly show, the patient must tolerate the painful feelings of guilt and loss, which Klein depicted as the affective task of the depressive position. In the final chapter, Kavaler-Adler advances the thesis of her book further: Consciously facing one’s regrets can effect profound psychic change. Kavaler-Adler also describes some drawbacks of Klein’s theoretical contributions. First, she believes that Kleinian theory as a developmental theory is limited. She has attempted to expand its developmental usefulness by creating a dialectic between Klein and other theorists from the American and British schools of object relations. Second, she believes that primal trauma as well as psychic conflict is at the foundation of psychopathology, and
The American Journal of Psychoanalysis – Springer Journals
Published: Aug 13, 2014
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