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Why Insight Fails

Why Insight Fails Psychoanalysts rely on insight to promote therapeutic change. However, even when a great deal of insight has been attained, significant change may not be forthcoming in some patients, more often in borderline-level patients. The author examines such a case with particular reference to E. Kris' major points on insight, including the role of the ego's integrative functions in the attainment and utilization of insight. The author contends that failure to utilize insight is overdetermined and not necessarily owing to impairments in the integrative functions or to resistance in all its expressions. The author postulates that failure to make progress is due to a combination of the strength of the unmodulated drives, general ego weakness, poor early object relations, particularly preverbal experience, and constitution, in interaction. The whole of the personality is implicated in the inability to utilize insight. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The American Journal of Psychoanalysis Springer Journals

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References (33)

Publisher
Springer Journals
Copyright
Copyright © 2002 by Association for the Advancement of Psychoanalysis
Subject
Psychology; Clinical Psychology; Psychotherapy; Psychoanalysis
ISSN
0002-9548
eISSN
1573-6741
DOI
10.1023/A:1015129211412
Publisher site
See Article on Publisher Site

Abstract

Psychoanalysts rely on insight to promote therapeutic change. However, even when a great deal of insight has been attained, significant change may not be forthcoming in some patients, more often in borderline-level patients. The author examines such a case with particular reference to E. Kris' major points on insight, including the role of the ego's integrative functions in the attainment and utilization of insight. The author contends that failure to utilize insight is overdetermined and not necessarily owing to impairments in the integrative functions or to resistance in all its expressions. The author postulates that failure to make progress is due to a combination of the strength of the unmodulated drives, general ego weakness, poor early object relations, particularly preverbal experience, and constitution, in interaction. The whole of the personality is implicated in the inability to utilize insight.

Journal

The American Journal of PsychoanalysisSpringer Journals

Published: Oct 18, 2004

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