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psychoanalysis is primarily the study of individual and their deepest motives (drives and need for attachment) family therapy is the study of social relationships The bridge between these two is called OBJECT RELATIONS THEORY
ESSENCE IS THAT WE RELATE TO OTHERS ON BASIS OF EXPECTATIONS FORMED BY EARLY EXPERIENCE, |
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Part of Objects Relations theory The residue the early relations leave is called Internal Objects
Internal objects are mental images of self and others built up from experience and expectation. Internalized core objects form personality (develop and maintain thru past and present social relations) |
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Bowlby Analytic Depression |
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-a child has a profound need for attachment to a single constant object, if need is denied it is called anaclitic depression-a turning away from the world with withdrawl into apathy |
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projective identification |
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defense mechanism where unwanted parts of the self are blamed (attributed) to another person and that person is induced to behave in accordance with these projective attributes. These feelings are communicated and provoked in subtle but recognizable ways but these subtllties are not focused on. |
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fundamental motive of life according to an Object Relationist? ) |
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The fundamental motive is to have a satisfying relations ship with another. It emphasizes relationships and attachment rather than libido or aggression. Psychoanalytic theory derived from Melanie klein and developed by the british schools (bion, fairbain, guntrip and wincott |
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3The psychodynamic view of human behavior is |
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derived from Freud's psychoanalytic model which places heavy emphasis on the role of the unconscious |
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Boszormenyi-Nagy term for the amount of merit a person accrues for behaving in an ethical manner towards others. In contextual therapy |
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is distorted emotional reactions to present relationships based on unresolved early family relations, |
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Transference is distorted emotional reactions to present relationships based on unresolved early family relations (scapegoating, trading disassociation, merging, irrational role assignments, deliniations, symbiosis, family projection process) Freud says that we distort preceptions by attributing qualities to one person to someone else. |
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objective countertransference. |
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This involves the feelings the patient induces in the analyst that give precious information about the patient’s own feelings and transferences. It enables us to feel how the patient (as an infant) felt toward himself, how his mother felt toward him, how he felt toward his mother and how he wished his mother felt toward him (the four components of transference). Objective countertransference is the key to our better understanding and eventually unlocking the emotional and psychological door to our patient. |
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subjective countertransference: |
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feelings the analyst feels, having do with her as a person. The analyst’s own unresolved issues are being awakened in her work with the patient. The analyst has a hard time staying objective in the treatment in order to fully “be there” for the patient, as she is bombarded with her personal feelings toward the patient and toward whomever the patient reminds her of in her own life. |
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Bowlby 3 stages of pathological mourning Stage I |
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Definition
Pprotests and wishes for reunion Could last hours or weeks appear acutely distressed child rejects care rejects recaptures distressed |
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Bowlby 3 stages of pathological mourning Stage |
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Hoplessness Phase Despair (looks like depression)withdraw, no movmnt, no demands |
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Bowlby 3 stages of pathological mourning Stage know for exam |
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interest goes up (oerky) may smile no longer rejecting more accepting when mother reappears child is indifferent, attachment injured, apathetic to parent, remote |
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Bowlby 3 stages of pathological mourning |
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Grief-mourning process children went thru while separated from their mothers. 1975 study children 13-32 months
IMPORTANT LESSON --ALWAYS TAKE THE BABY |
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relates to and is satisfied with new people and things |
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children learn when they are left and feel abandonded they become very self-centered and more concerned with material things |
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doesn't find gratification in relationships Seperation experience or perceived rejection brings on catastrophic feelings of this depression take on stage two symptoms |
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attachment so critical to children that to comabt these feelings as an adult they are clingy, use alcohol or shopping to ease, constant feeling, feelings of rejection (projection) |
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Attachment Styles SECURE ATTACHMENT |
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visibly uPSET WHEN CAREGIVER LEAVES Happy when parent returns when frightened seek comfort of parent when parent initiates contact it is readily accepted positive greetings upon parent return can be comforted by others but CLEARLY prefers parent at all times parents are affectionate, play with children, do not use TV or phones or computers to babysit child under age 12 available and respond quickly, nurturing and takes pride in child and parent is not selfish or materialistic. child comes before mothers beauty regime As adult this child is more empathetic, less disruptive, less aggrressice, mature and not needy, do not borrow or manipulate, is not materialistic In relationships as an adultaffectionate, secure, trustin, long term seeks social support shen needed, shares feelings with partner, believes in romantic love |
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Attachment Styles AMBIVELENT INSECURE ATTACHMENT |
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suspicious OF STRANGERS Sep from Caregiver=high distress Parent returns-not reassured or comforted may passively reject parent, aggressive parent is unresponsive to needs, not available. Physically present but on phone computer ignores basic needs like changing diapers. child develops without mothering tend to cling to teachers or others who meet their needs to get what mother doesn't give as adult-clingy, reluctant to closeness, worrier, frequent break up, cold and distant |
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Attachment Styles AVOIDANT ATTACHMENT |
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avoids parents and caregivers (prefers tv, hand held computer devices, computers) More pronounced avoidance after parent leaves sekks comfort from things and not parent no preference between parent and grandparent (others) as adults close relationships are difficult to maintain little emotion invested when it ends-OH WELL sexually permisccuous, don't really attach, fantasize often about others, are schizoid not supportive (a taker not a giver) In men porn addiction common, in women seek things or younger relationships |
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Margaret Ainsworthin 1969 to observe attachment relationships between a caregiver and a child. It applies to children between the ages of twelve and twenty four months. Broadly speaking, the attachment styles were (1) secure,(2) insecure avoidant and (3) insecure ambivalent |
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a diseased internal object |
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parents, caregivers, siblings mental images and fantasies of oneself and others formed by early interactions with caregivers |
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projective identification |
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a defense mechanism whereby unwated aspects of the self are attributed to another person and that person is induced to behave in accordance with these projected attributes (controlling or manipulative mother will cause bad relational style)
Melanie Klein |
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memories, feelings and impulses of which a person is unaware. Often used as a noun but more appropriately limited to use as a adjective |
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at heart of human nature there are sexual and aggressive drives conflict arises when me learn and mislearn that expressing impulses may lead to punishment (ie-expressing anger may make a partner stop loving you) to balance 1-strengthen defenses against one's impulses 2-relax defenses to permit gratification |
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a primitive form for of identification -taking aspects of other people which then become part of your self image |
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the first to depart from Freud; began writing about object relations in the 1930's; worked directly with children (unlike Freud) and found children spent more energy constructing interpersonal world than controlling libidinal impulses; the core of selfhood is tied to the infant’s first and most fundamental object relationship– the relationship with the mother |
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the ultimate goal of human behavior is to establish meaningful human relationships; the frustration of not feeling loved, lovable, or that ones' love is valued and welcomed results in aggressive impulses; credited for the term “object relations” |
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: the child’s relationship with its mother, rather than the child’s drives, is central to psychological development; this development begins through attachment to the mother and proceeds by progressive detachment as the child gets older (separation-individuation) |
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There is no such thing as an infant; there is only an infant and its mother”; “good enough” mother: is attuned to and at the disposal of her child’s needs; positive attributes are developed through “good enough” mothering; a false-self develops from maternal deprivation |
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Refers to someone/something who meets our needs (that which satisfies a person’s drives). can be internal (parent’s voice in your head) or external (a person in the real world) can be real (objective) or fantasy (subjective) the term comes from the shift away from the Freudian emphasis on drives to the object of drives (e.g., other people) |
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PROJECTIVE IDENTIFICATION |
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Occurs when a person projects an unwanted or intolerable aspect (i.e. anxiety) onto someone else, behaves toward the other in a way that generates feelings in the other that correspond with the projection, and then unconsciously identifies with and feels oneness with the other. This process is unconscious and more extreme than projection. Functions of Projective Identification: Defense: to get away from painful feelings Communication: nonverbal, unconscious; rather than tell the therapist about her inner world, the client has the therapist experience it Object-relatedness: a way of relating to another person Pathway for psychological change Major patterns of Projective Identification (Cashdan, 1988): Dependency Power Sexuality Ingratiation |
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Major patterns of Projective Identification (Cashdan, 1988): Dependency |
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Dependency Power Sexuality Ingratiation |
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Manipulator Emotional structure component is self- sacrifice...aware that the person is doing something "for you" "after all I've done for you" If it wasn't for me" try to induce you to need them, guilt youinto feeling appreciative Metacommunication here is YOU OWE ME |
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parentified children (impaired parent) only noticed is doing somethin for someone else pisses you off, annoyed angry places constraint on relationship[p Best response-I HEAR YOU< THANKS don't be emotional or react don't take it personally person has had an injury they are doing the best that they can |
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imposing a distortion on a therapeutic relationship |
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subjective counter transference |
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therapist respond to pt arises from therapists past issues |
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non subjective countertransference |
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takes away neutrality and objectivity Ie- therapist doesn'tlike pt because pt reminds him of someone makes therapist edgy and confrontational treats differently |
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objective countertransference |
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feelings pt induces in therapist central to pts underlying conflicts and processes (biored wuith patient,..ask why am I feeling bored monotone no eye contact |
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pioneer entire family assessment psychoanalyst 1st to treat families |
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to understand unconscious process/motive people don't live by self should be treated in isolation |
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Failure of complementarity |
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not harmonious do't accommodate each other leads to rigid roles narrow definitions stereotyping Ackerman-cultivate new experiences, resist fam sys theory |
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family develops competing factions members become scapegoat-whipping post |
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causes difficulties in families problem of one member interlocks with another hypochondriac has enabler partner |
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cause and effect link difficult |
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4 dimensions of parenting 1-discipline strategy, 2 warmth, nurturing, communication style |
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indulgent, few demands, rarely disciplines, no expectations for behavior, avoid confrontation, can sometimes be responsive, not demanding, non-traditional role of friend instead of parent |
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Child of permissive parent as child, teen and adult characteristics are |
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low self regulation (out of control behavior, messy, no standards, wild) no boundaries, Low happiness, problems with authority |
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has rules, guides to live by structure more democratic, responsive to child, really listens, more nurturing, more forgiving, may not punish, assertive but not intrusive, sets example of how to act, be a person, how to live in household and of living expectations |
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Child of a Authoritative Parent, teen adult child characteristics |
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socially responsible happy as young adults, successful, confident, capable, self-sufficient, not takers |
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follow rules period, punishmentmay include hitting reason is I said so high demands of children low nurturers, low empathizers, low responsiveness more worried about looks and status expects orders followed not good listeners because only worried about selves and pretend to be worried about child fake |
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children of authoritarian parents as child, teen , adult |
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low self esteem! unhappy, not confident follow rules but out of fear teens quit sports and introvert |
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cosmetic change does not alter system or organization temporary but well intended (mom stop being critical, stop yelling) |
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will change structure changes interactions that lead up to fighting change of rules of systems changes self esteem or control helps the system long lasting |
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Strategic family planning therapy model that focuses on the content and possible function of the patients symptoms and used directives to instruct patients to act in ways that were contrary to their maladaptive behavior more important to do something to underst5and feelings |
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Haley defines symptoms as interpersonal events-tactics for one person to deal with another development of symptoms 9rage, panic, phobias, anxiety, depressive disorder) When someone becomes symptomatic it is a maneuver for power(attempt to control another person) it is a maneuver to define who is in charge |
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Hayley denies maneuver for power says symptom is real or unvoluntarty symptoms control what is happening in a relationship |
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attention seeking maneuver for power |
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fainting, falling on floor, acting incredibly sick, exaggerating illness
Should not react, just ignore then person will get angry and rage because not being helped (showing that symptoms really are fake) call 911, make person put up or shut up if very sick or threatening suicide, do not feed behavior or it will never end |
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find more wasy to express needs and have needs met |
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homework assignments designed to help families interrupt homestatic patterns of problem maintaining behaviors |
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Gre out of communications theory 3 models, MRI, Strategic Family and Milan |
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all behavior is communication 2 levels, surface/content and metacommunication |
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communications theoristssurface is just words I love you-surface eye contact, verbal lang=meta communication |
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complementary relationship |
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different in ways that fit together most common-shy/outgoing |
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based on equality and similarity |
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communication can be punctuated-each person holds the other responsible for action she nags cause he doesn't listen he doesn't listen cause she nags |
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takes away power of symptoms, desensitizes manipulates clients for strategic therapy |
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tell them don't change or cry more this makes the symptom voluntary and causes dimish this takes away the POWER OF THE SYMPTOM |
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have client overdo symptom-resists-goes wasy |
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content-just words command function - is a process issue + is meta communication garbage is dull=metacomm take out garbage billy hit me command-do something aboutit |
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interactional psychotherapy process refers to the nature of the relationship of interacting individual also refers to individuals underlying unconscious conflicts someones unconscious motives feelings being expressed (body language, tone of voice) |
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content just words spoken, issues discussed, arguments made
process=what do words really mean what do these words tell us about the relational or interactional style of the participants |
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problem solving + outwit resistance |
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Hayley overdo a symptom-resistance-goes away family goes against destabilization=resistance
resistance proves symptom is voluntary |
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conflict created when a person receives contradictory messages on different levels of abstraction in an important relationship and cannot leave |
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patients say symptoms are involuntary as a way to resolve therapist uses a double bind such a prescribing the symptom, exaggerating the symptom |
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correction that follows correct deduction from logic |
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therapist that are processed oriented |
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how are they saying what they are saying why are they saying it now |
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therapist that stay in content |
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not very helpful to patient |
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self psychology
every human being longs to be appreciated emphasizes the need for attachment and appreciation rather than sex and aggression |
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Boszormenyi nagy includes appreciation of relational ethics |
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kohutchildren experience parents as parts of them selves |
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child draws from power of their wonderful parents 9see parents as caregivers who love, feed, bathe, care for and socialize with them) |
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kohut understanding plus acceptance needed for a secure cohesive child 9slf) |
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a psychological defense mechanism in which a person abandons age-appropriate coping strategies in favor of earlier, more childlike patterns of behavior. This regression is a form of retreat, bringing back a time when the person feels safe and taken care of. |
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s a concept (in human psychology) that was originated by Sigmund Freud (1905) to denote the persistence of anachronistic sexual traits.[1] The term subsequently came to denote object relationships with and attachments to people or things in general persisting from childhood into adult life.[2] |
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understanding acceptance explanation kohut |
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