Psychoanalysis as an art and the fantasy character of the psychoanalytic situation.
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We administered the MMPI and the Inventory of Childhood Memories and Imagining (ICMI) to 1,200 college students. Application of diagnostic efficiency statistics for the ability of differing ICMI cutoff scores to identify college students producing a schizophrenia spectrum MMPI code type revealed that scores greater than or equal to 29 on the ICMI had good positive predictive power. Scores less than 29 on the ICMI had very good negative predictive power. ICMI scores were also used to form a group of fantasizers (n = 30) and a control group (n = 30). Fantasizers were much more likely to produce MMPI codes associated with a vulnerability to schizophrenia (70%) than were controls (3.33%). Although most controls(70%) produced non-elevated MMPI scores, 66.67% of the fantasizers produced three or more elevated clinical scales on the MMPI. The modal MMPI profile for the fantasizers was an 8-9 code, indicating that fantasizers appear at heightened risk for eccentric thinking and a Cluster A or B personality organization.
In this paper, object-relations theory is used to illuminate problems encountered in the psychotherapeutic management of severely disturbed psychiatric patients. The hazards of idealisation of the psychiatrist by the patient are reported in four case histories. Attention is drawn to the subsequent breakthrough of negative feelings where idealisation had been unrecognised or unwittingly encouraged. Some implications for the more successful management of the transference in patients such as these are discussed.
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