The authors show how their ego-psychological object relations
theory integrates drive theory and object relations theory and does
justice to recent findings regarding the vicissitudes of
transference and countertransference interactions in the
psychoanalytic situation. 'A significant shift has taken place in
the last few decades in the way in which psychoanalytic theory has
developed and in its application to psychoanalytic technique. This
development has, in essence, consisted in the ascendance of object
relations theory as an overall integrating frame of reference
linking psychoanalytic metapsychology closer to the vicissitudes of
the psychoanalytic process. This has facilitated the formulation of
unconscious intrapsychic conflict in more clinically helpful ways
than has the traditional frame of reference exclusively based on
the conflict between drives and defensive operations. 'The great
interest of the Sandler's approach resides in their careful and
systematic elaboration of what might be called the various
"building blocks" of a contemporary ego psychological object
relations theory, carefully exploring each areas on its own merits
before gradually taking them into an overall theoretical approach.
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