Concluding remarks on technique and prognosis in the treatment of narcissism.
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It has been my aim in this paper to revise the existing psychoanalytic theory of group psychology in accordance with current structural concepts. The need for fundamental revision in the existing theory of group organization is demonstrated by its restriction to an oedipal paradigm, which cannot account for the regression to an oral paradigm of group organization during group formation. Freud's explanation of regression in crowds is reviewed. The limitations inherent in Freud's topographic and narcisistic models are demonstrated; irreconcilable contradictions are shown to exist between the two theories. A structural model of group psychology that is free from internal contradictions and provides a unifying explanation for both regression and merging in the crowd is developed. As a consequence of these revisions it is possible to conceptualize preoedipal organizations of group structure in addition to the oedipal paradigm proposed by Freud.
We have described some of the problems encountered in an analyzability committee's evolving approach to the assessment of applicants to a psychoanalytic clinic. A primary error was to think in terms of the level of drive development--equating pathology at an oedipal level with analyzability. Recognition that the more important issue for assessment purposes was the presence or absence of those ego capacities and personality characteristics necessary for success in analysis has led to a reorientation of our approach.
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