In the last several decades, the analytic field has widened
considerably in scope. The therapeutic task is now seen by an
increasing number of analysts to require that patient and analyst
work together to strengthen, or to create, psychic structure that
was previously weak, missing, or functionally inoperative. This
view, which may apply to all patients, but is especially relevant
to the treatment of non-neurotic patients and states of mind,
stands in stark contrast to the more traditional assumption that
the therapeutic task involves the uncovering of the unconscious
dimension of a present pathological compromise formation that holds
a potentially healthy ego in thrall. The contrast which this book
calls attention to is that which exists roughly between
formulations of psychic structure and functioning that were once
assumed to have been sufficiently well explained by the hypotheses
of Freud's topographic theory and those that were not. The former
are modeled on neurosis and dream interpretation, where conflicts
between relatively well-defined (saturated) and psychically
represented desires were assumed to operate under the aegis of the
pleasure-unpleasure principle.
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