Internalized Object Relationship as an Advanced Level of Psychodiagnosis

Authors

  • Maurice Joseph Author
  • Melissa Witter Author

DOI:

https://doi.org/10.70839/2pjrxv44

Keywords:

ISTDP, Internalized Object Relations, Unconscious Enactment, Transference, Countertransference, Psychodiagnosis, Relational Psychodynamic, Unconscious Identification

Abstract

Internalized representations of past relationship experiences, referred to as internalized object relations (IOR), impact how patients perceive and experience their therapist and the therapist’s interventions. The ability to identify the internalized object relationship paradigm through which the patient experiences the therapist allows the therapist to formulate interventions that challenge rather than unconsciously enact pathogenic transference dynamics. In this paper, a case example is used to highlight methods for psychodiagnosing internalized object relational roles in the patient-therapist interaction. Further, the authors attempt to demonstrate the utility of incorporating internalized object relations-based formulations in the planning of interventions and assessment of patient responses, and identify areas for further development of internalized object relations concepts in ISTDP theory and technique.

References

Abbass, A. (2015). Reaching through resistance: Advanced psychotherapy techniques. Seven Leaves Press.

Aron, L., & Atlas, G. (2015). Generative enactment: Memories from the future. Psychoanalytic Dialogues, 25, 309-324.

Beier, E. G., & Young, D. M. (1966). The silent language of psychotherapy: Social reinforcements of unconscious processes. Transaction Publishers.

Bollas, C. (1989). The shadow of the object: Psychoanalysis of the unthought known. Columbia.

Coughlin, P. (1996). Intensive short-term dynamic psychotherapy: Theory and technique. Wiley.

Coughlin, P. (2023). Facilitating the process of working through in psychotherapy: Mastering the middle game. Routledge.

Davanloo, H. (1978). Basic principles and techniques in short-term dynamic psychotherapy. Wiley

Davanloo, H. (2000). Intensive short-term dynamic psychotherapy: selected papers of Habib Davanloo. Wiley.

Ekstein, R., & Caruth, E. (1966). Children of time and space, of action and impulse: Clinical studies on the psychoanalytic treatment of severely disturbed children. Appleton-Century-Crofts.

Feiner, A. H. (1982). Comments on the difficult patient: Some transference-countertransference issues. Contemporary Psychoanalysis, 18(3), 397-411.

Ferenczi, S. (1927). The problem of termination of the analysis. Final contributions to the problems and methods of psycho-analysis. pp. 77-86. Hogarth Press,1955, re-printed Karnac Books 1980.

Ferenczi, S. (1988). The clinical diary of Sándor Ferenczi. Harvard University Press.

Freud, S. (1914). 1958. Remembering, repeating, working-through (Further recommendations on the technique of psycho-analysis II). Standard Edition of the Complete Psychological Works of Sigmund Freud, 12.

Freud, S. (1989). The ego and the id (1923). TACD Journal, 17(1), 5-22.

Frederickson, J. (2013). Co-creating change: Effective dynamic therapy techniques. Seven Leaves Press.

Frederickson, J. (2021). Co-creating safety: Healing the fragile patient. Seven Leaves Press.

Gill, M.M., & Hoffman, I.Z. (1982). Analysis of transference, volume I. International Universities Press.

Greenberg, J. (1991). Oedipus and beyond: A clinical theory. Harvard University Press.

Grotstein, J. S. (1985). Splitting and projective identification. J. Aronson.

Havens, L.L. (1976). Participant observation. Aronson.

Havens, L.L. (1986). Making contact: Uses of language in psychotherapy. Harvard University Press.

Hewitt, J. W. (1993). Moving from the language of action to the language of words. Master clinicians: On treating the regressed patient, 2, 259-277.

Hoffman, I. Z. (2014). Ritual and spontaneity in the psychoanalytic process: A dialectical constructivist view. Taylor & Francis.

Joseph, M.L. (2024). Principles underlying ISTDP clinical practice. [Manuscript submitted for publication].

Kalpin, A. (1994). Effective use of Davanloo's" head-on-collision.". International Journal of Short-Term Psychotherapy, 9, 19-36

Langs, R. J. (1989). The technique of psychoanalytic psychotherapy: Theoretical framework: understanding the patients communications. Jason Aronson, Incorporated.

Langs, R. J. (2018). Some communicative properties of the bipersonal field. In Grotstein, J. (Ed.) Do I Dare Disturb the Universe? (pp. 441-488). Routledge.

Levenson, E. A. (1979). Language and healing. Journal of the American Academy of Psychoanalysis, 7(2), 271-282.

Levenson, E. A. (2013). The fallacy of understanding & the ambiguity of change. Taylor & Francis.

Loewald, H. W. (1960). On the therapeutic action of psychoanalysis. Classics in psychoanalytic technique, 379-381.

Malan, D. H. (1979). Individual psychotherapy and the science of psychodynamics. Butterworth Heinemann.

Ogden, T. H. (1982). Projective identification and psychotherapeutic technique. Jason Aronson, Incorporated.

Ogden, T. H. (1992). The matrix of the mind: Object relations and the psychoanalytic dialogue. Maresfield Library.

Orange, D. M., Atwood, G. E., & Stolorow, R. D. (1999). Working intersubjectively: Contextualism in psychoanalytic practice. Routledge.

Racker, H. (1972). The meanings and uses of countertransference. Psychoanalytic Quarterly, 41, 487-506.

Searles, H.F. (1990). Unconscious identification. In B.L. Boyer & P.L. Giovacchini (Eds.), Master clinicians on treating the regressed patient. Jason Aronson, Incorporated.

Strachey, J. (1934). The nature of the therapeutic action of psychoanalysis. Classics in psychoanalytic technique, 361-378.

Stern, D.B. (1983). Unformulated experience—from familiar chaos to creative disorder.

Contemporary Psychoanalysis, 19, 71-99.

Symington, N. (1983). The analyst’s act of freedom as agent of therapeutic change. International Review of Psychoanalysis, 10, 283-291.

Tansey, M. J., & Burke, W. F. (2013). Understanding countertransference: From projective identification to empathy. Taylor & Francis.

Town, J.M., Abbas, A., & Bernier, D. (2013). Effectiveness and cost effectiveness of Davanloo’s Intensive Shortterm Psychotherapy: Does unlocking the unconscious make a difference? American Journal of Psychotherapy, 67(1), 89-108.

von Korff, P. (1998). Early management of unconscious defiance in Davanloo’s Intensive Short-Term Dynamic Psychotherapy, Part 1. International Journal of ISTDP, 12, 183-208.

Wachtel, P. (1993). Therapeutic communication: Knowing what to say when. Guilford Publications.

Weiss, J., & Sampson, H. (1986). The psychoanalytic process: Theory, clinical observation, and empirical research. Guilford Publications.

Yeomans, F. E., Clarkin, J. F., & Kernberg, O. F. (2002). A primer of transference-focused psychotherapy for the borderline patient. Jason Aronson, Incorporated.

Downloads

Published

2025-03-14

How to Cite

Internalized Object Relationship as an Advanced Level of Psychodiagnosis. (2025). Journal of Contemporary ISTDP, 1(1). https://doi.org/10.70839/2pjrxv44