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Psychodynamics of Impulsive Behavior

  • Gerald Adler

Abstract

In discussing treatment of patients with impulsive disorders, we can take one of two positions: (1) that we know too little and are thus helpless to treat many of them successfully (based on recidivist and outcome studies); or (2) that we know more than we realize and our failures lie in the complexities of applying what we know. The actual situation most often lies somewhere between the poles of these two views, but for purposes of discussion I want to examine, support, and perhaps overemphasize how much we know and how much our theoretical knowledge is gradually increasing. I shall also attempt to provide a theoretical framework for treatment of impulse-ridden patients in a variety of settings and ask why it is so difficult to apply what we know effectively to clinical situations.

Keywords

Impulsive Behavior Private Office Armed Robbery Borderline Patient Object Constancy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Adler, G. 1970. Valuing and devaluing in the psychothera peutic process. Arch. Gen. Psychiatry, 22, 454–461.PubMedCrossRefGoogle Scholar
  2. Adler, G. 1972. Helplessness in the helpers. Br. J. Med. Psychol., 45, 315–326.PubMedCrossRefGoogle Scholar
  3. Adler, G. 1974. Regression in psychotherapy: Disruptive or therapeutic? Int. J. Psychoan. Psychother., 4, 252–264.Google Scholar
  4. Adler, G. 1975a. The usefulness of the “borderline” concept in psychotherapy. In J.E. Mack (Ed.), Borderline States in Psychiatry. New York: Grune & Stratton.Google Scholar
  5. Adler, G. 1975b. Correctional (prison) psychiatry. In A.M. Freedman, H.I. Kaplan, and B.J. Sadock (Eds.), Comprehensive Textbook of Psychiatry. Second Edition. Baltimore: Williams & Wilkins, 2437–2442.Google Scholar
  6. Adler, G. and Buie, D.H., Jr. 1972. The misuses of confrontation with borderline patients. Int. J. Psychoanal. Psychother., 1, 109–120.Google Scholar
  7. Adler, G. and Buie, D.H., Jr. 1976. The process of psychotherapy in the treatment of borderline patients. Presented at the Eleventh Tufts Symposium on Psychotherapy, Boston, Mass.Google Scholar
  8. Aichhorn, A. Wayward Youth. 1935. New York: Viking PressGoogle Scholar
  9. Balint, M. 1968. The Basic Fault: Therapeutic Aspects of Regression. London: Tavistock Publications.Google Scholar
  10. Bernabeau, E.P. 1958. Underlying ego mechanisms in delinquency. Psychoanal. Q., 27, 383–396.Google Scholar
  11. Buie, D.H., Jr. and Adler, G. 1972. The uses of confrontation with borderline patients. Int. J. Psychoanal. Psychother., 90–108.Google Scholar
  12. Fraiberg, S. 1969. Libidinal object constancy and mental representation. The Psychoanalytic Study of the Child, Vol. 24, 9–47. New York: International Universities Press.Google Scholar
  13. Guntrip. H. 1971. Psychoanalytic Theory, Therapy, and the Self. New York: Basic Books.Google Scholar
  14. Hartmann, H. 1958. Ego Psychology and the Problem of Adaptation. New York: International Universities Press.CrossRefGoogle Scholar
  15. Kernberg, O.F. 1967. Borderline personality organization. J. Am. Psychoanal. Assoc., 15, 641–685.PubMedCrossRefGoogle Scholar
  16. Kernberg, O.F. 1968. The treatment of patients with borderline personality organization. Int. J. of Psychoanal., 49, 600–619.Google Scholar
  17. Kernberg, O.F. 1970. Factors in the psychoanalytic treatment of narcissistic personalities. J. Am. Psychoanal. Assoc., 18, 51–85.PubMedCrossRefGoogle Scholar
  18. Kernberg, O.F. 1975. Borderline Conditions and Pathological Narcissism. New York: Jason Aronson.Google Scholar
  19. Kohut, H. 1971. The Analysis of the Self. New York: International Universities Press.Google Scholar
  20. Mahler, M.S. 1971. A study of the separation-individuation process and its possible relevance to borderline phenomena in the psychoanalytic situation. The Psychoanalytic Study of the Child. Vol. 26, 403–424. New York: International Universities Press.Google Scholar
  21. Mahler, M.S. 1972. Rapprochement subphase of the separation-individuation process. Psychoanal. Q., 41, 487–506.Google Scholar
  22. Masterson, J.E. 1976. Psychotherapy of the Borderline Adult: A Developmental Approach. New York: Brunner/ Mazel.Google Scholar
  23. Robins, L.N. 1966. Deviant Children Grown Up: A Sociological and Psychiatric Study of Sociopathic Personality. Baltimore: Williams & Wilkins.Google Scholar
  24. Semrad, E.V. 1969. Teaching Psychotherapy of Psychotic Patients. New York: Crune & Stratton.Google Scholar
  25. Winnicott, D.W. 1965. The Maturational Processes and the Facilitating Environment. New York: International Universities Press.Google Scholar

Copyright information

© Plenum Press, New York 1979

Authors and Affiliations

  • Gerald Adler
    • 1
  1. 1.Tufts University School of MedicineBostonUSA

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