Psychoanalytic observations on the pathology of depressive illness: selected spheres of ambiguity or disagreement

J Am Psychoanal Assoc. 1986;34(2):329-62. doi: 10.1177/000306518603400205.

Abstract

This paper has two general sources: my own clinical psychoanalytic work extending over about four and one half decades; and consideration of certain outstandingly influential ideas in our literature: first, those of the pioneer contributors, and then those of certain more recent writers, whose views have sometimes exhibited important differences from those widely held in the past. I try to evaluate the two groups--in their occasional overlapping and important divergences, in relation to my own clinical experience. A certain general position of my own emerges from such process inevitably; but it is far from "revolutionary." Indeed, the contrary is more largely true. In extreme anticipatory condensation--what I do propose, from my own reflections, is the preeminent importance of an archaic characterological core in depressive illness.

MeSH terms

  • Aggression
  • Defense Mechanisms
  • Depressive Disorder / psychology*
  • Female
  • Grief
  • Humans
  • Individuation
  • Libido
  • Male
  • Narcissism
  • Object Attachment
  • Oral Stage
  • Psychoanalytic Interpretation*
  • Self Concept