The concept of the internal objects and internal and external spaces has been further developed in this paper. These objects are an important part of patients seeking treatment for themselves for they are also looking unconsciously for 'treatment' of these objects. The objects are ' damaged' and the patient does not know how to repair them. He keeps them alive in the hope that help will come. The methods used to keep them alive, even when dying, have been described. The stages at which these objects have been, or are thought to have been, damaged is vital. For example, they can range from the sensori-motor level to higher levels of maturation, to produce psychosis, borderline or hypochondria. The concrete level is stressed for it leads to concrete repair as opposed to psychic reparation.Dr Henri Rey, psychoanalyst and member of the British Institute of Psychoanalysis, has been well known for his own integration of Freudian-Kleinian object relations theory with Piagetian, psycholinguistic and biophysical conceptual frameworks. He worked for many years as a consultant psychotherapist at the Maudsley Hospital where he developed his theoretical models for the treatment of borderline and psychotic patients.
In so far as major endocrine disorders, particularly those of hyperfunction, are frequently familial and genetically determined, and in so far as many major endocrine disorders have their representation, but with less intensity, in accepted normality, observations in regard to the association of major endocrine disorders with characteristic behaviour patterns are relevant to a consideration of the varieties of normal behaviour pattern among normal individuals.Classifications of physical build, as used by anthropologists, bear some relationship to classifications of endocrine constitution, and the evidence put forward suggests an endocrine basis for two of the anthropological groups, the muscular mesomorphs and the adipose endomorphs, thus giving further support to the previous two conclusions. I qualify my conclusions by an unqualified admission of the importance of non-endocrine factors in determining behaviour patterns, and even more so in the case of the psychoneuroses and psychoses, the'majority of the latter of which are not due to endocrine disorders.
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