Anxiety: The importunate companion. Psychoanalytic theory of castration and separation anxieties and implications for clinical technique

Davies, Rosemary

doi:10.1111/j.1745-8315.2012.00595.x

Cited by 7 publications

(4 citation statements)

References 12 publications

(12 reference statements)

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“…Only few papers propose both explicit and implicit attachment-or separation-focused treatment approaches in BPD, such as Fonagy and Bateman's MBT or Levy's TFP, mostly from a psychoanalytic or psychodynamic point of view [82][83][84][85][86][87]. The only RCT explicitly targeting abandonment issues in BPD found "Abandonment Psychotherapy"-comprising in sensu confrontation with deceiving and rejecting partners and a discrimination training, discriminating present pain associated with separations and loss or deceptions, and (traumatic) pain associated with past experiences of separation, deception, and trauma-to be significantly superior to the treatment-as-usual condition.…”

Section: Treatment Aspectsmentioning

confidence: 99%

Please Don’t Leave Me—Separation Anxiety and Related Traits in Borderline Personality Disorder

Matthies

Schiele

Koentges

et al. 2018

Curr Psychiatry Rep

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Epidemiological, environmental, psychological, and neurobiological data connecting BPD to separation events, feelings of loneliness, insecure attachment styles, dimensional separation anxiety as well as SAD per se suggest a partly shared etiological pathway model underlying BPD and SAD. Differential diagnostic aspects and implications for treatment are discussed, highlighting separation anxiety as a promising transdiagnostic target for specific psychotherapeutic and pharmacological treatment approaches in BPD. This innovative angle on cross-disorder symptomatology might carry potential for novel preventive and therapeutic avenues in clinical practice by guiding the development of interventions specifically targeting separation anxiety and attachment-related issues in BPD.

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Section: Treatment Aspectsmentioning

confidence: 99%

Please Don’t Leave Me—Separation Anxiety and Related Traits in Borderline Personality Disorder

Matthies

Schiele

Koentges

et al. 2018

Curr Psychiatry Rep

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“…Still, the literature on castration depressive affect in men is sparse (Fenichel 1945;Katan 1946;Rochlin 1953;Brenner 1982). Developmental studies of boys focus more on castration anxiety, selfimage, and preoedipal phallic issues (Davies 2012;Edgcumbe and Burgner 1975;Galenson and Roiphe 1971;Serota 1969). A series of important developmental studies on girls suggests an association between recognizing the female genitals, problems with sphincter control, congenital defects, conflicts about menstruation, and castration reactions (Abraham 1924;Brenner 1982;Fenichel 1945;Galenson and Rophe 1971;Gilmore 1998;Kulish 2000;Mayer 1995;Olesker 1988).…”

Section: Castration Depressive Affect / Castration Anxietymentioning

confidence: 99%

Castration Depression: Affect, Signal Affect, and/or Depressive Illness?

Fleischer¹

2015

J Am Psychoanal Assoc

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The value of Charles Brenner's ideas regarding depression is assessed, focusing on the significance of castration depressive affect. His discussion of whether depression is an affect, a signal affect, or an illness is examined, with special emphasis on his failure to sufficiently address depression as an illness or disorder as defined by psychiatry. Clinical material from the analysis of a man who suffers from severe depression suggests that incorporating psychiatric concepts (biological and pharmacological) with modern conflict theory can be a useful way to understand and treat some patients with depression. Theoretical and clinical controversies associated with combining psychiatric/biological and psychoanalytic views of depression are examined.

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“…The reader of the myth, however, knows something of the horrors of the circumstances of his conception and birth, just as did the Greek audience of Sophocles' drama. These antedate Sophocles' play and amply document the tension between Laius and Jocasta, chiefly concerning their failure to have a child, but probably also influenced by stories of Laius' homosexuality (Devereux 1953;Stewart 1961;Edmunds and Ingber 1977;Davies 2012;Zepf, Ullrich, and Seel 2016). Laius consulted the Delphic Oracle over these difficulties, and was given the dire prophecy that he was destined to be murdered by his son.…”

mentioning

confidence: 92%

The trauma and disillusionment of Oedipus

Steiner¹

2018

The International Journal of Psychoanalysis

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In the third day of his life Oedipus suffered a violent murderous assault in which his ankles were pierced so that he could be left to die. In fact, he was not only saved, but brought up as their son by the childless King and Queen of Corinth. My hypothesis is that a severe trauma left a significant physical and psychological scar, which was hidden beneath an illusion of a normal childhood. His background, including the cause of the infirmity of his ankles, remained obscure until it was revealed in the course of Sophocles drama. Facing the truth involved an exposure of the way an illusion had served to protect Oedipus not only from the truth of the murder and incest, but also of the fact that he had been severely traumatised. A phantasy of an ideal family commonly may serve as a defence against trauma and, as a result, facing the truth involves relinquishing the idealisation, and this may be experienced as a further trauma. In this paper, I will pay particular attention to the importance of guilt for the victim of early trauma. Severe trauma may block the acceptance of guilt and, hence, prevent the evolution of a benevolent cycle involving forgiveness and reparation.

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Anxiety: The importunate companion. Psychoanalytic theory of castration and separation anxieties and implications for clinical technique

Cited by 7 publications

References 12 publications

Please Don’t Leave Me—Separation Anxiety and Related Traits in Borderline Personality Disorder

Please Don’t Leave Me—Separation Anxiety and Related Traits in Borderline Personality Disorder

Castration Depression: Affect, Signal Affect, and/or Depressive Illness?

The trauma and disillusionment of Oedipus

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