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Cited by 3Psychoanalysis and Psychopathology ResearchTransactional Analysis in PsychotherapyPsychology and Mental Health

Internal objects and self-destructive behaviours: A clinical case highlighting dissociation, splitting and the rôle of the primitive super-ego in the addictions

Sweet, Alistair D.·2012·The Scandinavian Psychoanalytic Review
DOI 10.1080/01062301.2012.10662649
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Abstract

In this paper, the author explores the internal world of a patient who had suffered exposure to an acute and life threatening trauma and who subsequently developed a dependence on alcohol. It is suggested that a detailed exploration of internal object and self-representations, as these emerged through both acting out and in the transference/counter-transference dynamics of the therapeutic relationship, enabled a greater understanding of structural dissociation, splitting and the move to mourning and the recovery of objects previously lost through projective identification. Some thoughts are also offered by the author on primitive super-ego states, trauma and addiction.

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Crossref · 10.1080/01062301.2012.10662649

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46 of 46 references verified0 citation errors · 0 not checkable

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  • In such cases, use of psychoactive substances may allow for enactment of suppressed aggression, either via disinhibition and explicit aggression toward other, or via self-destruction, as in addiction.

    “In such cases, the use of psychoactive substances may allow for enactment of the suppressed aggression, either via disinhibition and explicit aggression toward other, or via self-destruction, as in the case of addiction (20).”

    From Addiction Psychotherapy: Going Beyond Self-Medication (2022) · cites this paper as [20]

  • In addition to the regulatory process of self-medication, in which negative emotions are suppressed, compulsive substance use may also reflect a substitutive function, in which negative emotions are being 'acted-out' through the use of drugs or alcohol.

    “We propose that in addition to the regulatory process of self-medication, in which negative emotions are being suppressed, compulsive substance use may also reflect a substitutive function, in which negative emotions are being 'acted-out' through the use of drugs or alcohol.”

    From Addiction Psychotherapy: Going Beyond Self-Medication (2022) · cites this paper as [20]

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Authors
Sweet, A. D.
Affiliations
Queen's University Belfast (GB)
Corresponding author
Sweet, Alistair D.
Venue
The Scandinavian Psychoanalytic Review
Publisher
Informa UK Limited
Published
2012-01
Volume
35
Issue
2
Pages
116-126
ISSN
  • 0106-2301 (ISSN-L)
  • 1600-0803
DOI
10.1080/01062301.2012.10662649
OpenAlex
W823238987
Cited by
3
References
48
Citations by year
2022: 1 · 2015: 1 · 2013: 1
FWCI
0.73
Type
journal article
Language
en
Open access
closed
Locations
The Scandinavian Psychoanalytic Review (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Clinical Psychology › Transactional Analysis in Psychotherapy
  • Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Keywords
internal objects, self-destructive behaviour, alcoholism, trauma, structural dissociation, splitting, mourning, projective identification, transference, countertransference, addiction, psychoanalytic psychotherapy

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