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THE AMERICAN JOURNAL OF PSYCHOANALYSIS 37:207-214 (1977) RESISTANCES ENCOUNTERED IN THE PSYCHOTHERAPY OF DEPRESSED INDIVIDUALS Jules R. Bemporad A sense of loss and transient depression is often seen in that phase of psychotherapy when the patient has relinquished a neurotic yet still gratifying activity. Despite the patient's realization that the specific neurotic behavior was ultimately self-defeating or counterproductive, he misses the immediate pleasure or momentary relief from discomfort that the activity had allowed him. Fortunately, in time, healthier substitutes are usually found in the curative process. Nevertheless, neurotic activity is not easily relinquished, and entrenched modes of behavior constitute formidable resistances since these older patterns often involve a needed self-concept as well as a guide to dealing with others in a manner which, if not completely satisfying, is at least secure. Such resistances to change are grossly magnified in the psychotherapy of the depressed individual since, in these cases, the giving up of neurotic maneuvers threatens the very source of the patient's sense of self-worth and possibility of gratification. More than in any other neurotic individual, the self--esteem of the depressive is intimately interwoven with specific distortions regarding his own conduct and in specific types of interrelations with others.
The American Journal of Psychoanalysis – Springer Journals
Published: Sep 1, 1977
Keywords: Clinical Psychology; Psychotherapy; Psychoanalysis
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