Schizophrenic delusional phenomena.
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Adult↗
Biomedical subjects
M R Lansky
Publications and source records attributed to M R Lansky.
Preoccupation as a mode of pathologic distance regulation.
This paper describes a defensive pattern, pathologic preoccupation, that is used to hide emotional absence under a mask of rationalization, in regard to loyalties outside the family. Observations and clinical data drawn from both individuals and families are used. The emphasis is on preoccupation as a transpersonal process of defense and on the resistances to treatment that result. The patient's struggle with the past against identification derives from representations of the family of origin in which the same-sex parent figures as an object of contempt or shame. Pathologic distance regulation must be understood through the manifest defensive operation of narcissistically vulnerable persons, that is, by the nature of binding and unbinding that occurs among real people, not just in fantasy.
Adult↗
On blame.
Blaming transaction can be dominant in the lives of couples for years, but blame is usually discussed in terms of the mechanism it is thought to exemplify. "Projection" captures the notion of exculpation but misses features that hold the relationship system together. "Sadomasochism," to the extent that is explains anything, implies that sexual excitement accompanies the giving and receiving of punishment and ignores the fact that blaming is, of its essence, verbal. "Projective Identification," as a transpersonal defensive operation, encompasses a systems level of thought but may not be used in a way that stresses the disowning of parts carried by the other. None of these mechanisms captures the richness of the symptom which serves to express and contain disowned inadequacy in the persons in the system. The endurance of marriages organized around blaming underscores the collusive nature of the seemingly aversive transaction. When such marriages do break up psychosis or aggression directed at self or others points to blaming as a restitutive phenomenon. Therapeutic understanding of blame must go beyond manifest content and encompass the appreciation of blame as mechanism, symptom, and restitution.
Adult↗