In this article the author attempts to make sense of what seems to be a difficulty some clients have in letting go of self-defeating behaviors and old ways of relating, that is, why some clients resist the process of therapy. The author explores how the ego state model explains this resistance and how a model of ego state relational units helps the therapist to understand and work more effectively with this process.
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References
1.
AllenJ. (2000). Biology and transactional analysis II: A status report on neurodevelopment. Transactional Analysis Journal, 30, 260–268.
BellD. (1998). External injury and the internal world. In GarlandC. (Ed.), Understanding trauma: A psychoanalytical approach (2nd ed. enlarged) (pp. 32–43). London: Karnac Books.
4.
BerneE. (1961). Transactional analysis in psychotherapy: A systematic individual and social psychiatry. New York: Grove Press.
5.
BlackstoneP. (1993). The dynamic child: Integration of second-order structure, object relations, and self-psychology. Transactional Analysis Journal, 23, 216–234.
6.
BollasC. (1987). The shadow of the object: Psychoanalysis of the unthought known. New York: Columbia University Press.
7.
BowlbyJ. (1988). A secure base: Clinical applications of attachment theory. London: Tavistock/Routledge.
8.
BrombergP. M. (1998). Standing in the spaces: Essays on clinical process, trauma and dissociation. Hillsdale, NJ: The Analytic Press.
9.
CooperS. H.LevitD. B. (1998). Old and new objects in Fairbaimian and American relational theory. Psychoanalytic Dialogues, 8(5), 603–624.
10.
EdwardsM. (1968). The two parents. Transactional Analysis Bulletin, 7(26), 37–38.
11.
ErskineR. (1991). Transference and transactions: Critique from an intrapsychic and integrative perspective. Transactional Analysis Journal, 21, 63–76.
12.
ErskineR. (1996, June). Integrative psychotherapy training workshop. Workshop presented by Sherwood Psychotherapy Training Institute, London, United Kingdom.
13.
FairbairnW. R. D. (1952). Psychoanalytic studies of the personality. London: Tavistock.
14.
FreudS. (1974). The psychotherapy of hysteria. In FreudS.BreuerJ., Studies on hysteria (The Pelican Freud Library, Vol. 3, pp. 337–393). Harmondsworth, Middlesex, England: Penguin Books. (Original work published 1905).
15.
FreudS. (1977). Fragment of an analysis of a case of hysteria (Dora). In FreudS., Case histories 1: “Dora” and “Little Hans” (The Pelican Freud Library, Vol. 8, pp. 44–164). Harmondsworth, Middlesex, England: Penguin Books. (Original work published 1905).
16.
FreudS. (1984). The ego and the id. In FreudS., On metapsychology: The theory of psychoanalysis (The Pelican Freud Library, Vol. 11, pp. 350–407). Harmondsworth, Middlesex, England: Penguin Books. (Original work published 1923).
17.
GillM. (1982). Analysis of transference: Vol. I. theory and technique. Madison, CT: International Universities Press.
18.
GómezL. (1997). An introduction to object relations. London: Free Association Books.
19.
GouldingM. M.GouldingR. L. (1979). Changing lives through redecision therapy. New York: Grove Press.
20.
GreensonR. R. (1967). The technique and practice of psycho-analysis. London: Hogarth Press.
21.
GrotsteinJ. S. (1994). Notes on Fairbaim's metapsychology. In GrotsteinJ. S.RinsleyD. B. (Eds.), Fairbairn and the origins of object relations (pp. 112–148). London: Free Association Books.
22.
GuntripH. (1968). Schizoid phenomena, object relations and the self. London: The Hogarth Press and the Institute of Psycho-analysis.
23.
HartmannH. (1964). Comments on the psychoanalytic theory of the ego. In HartmannH., Essays on ego psychology (pp. 113–141). New York: International Universities Press. (Original work published 1950).
24.
HeimannP. (1950). On countertransference. In HermannP., About children and children-no-longer: Collected papers 1942–80 (TonnesmannM., Ed.) (pp. 73–79). London. Routledge, in association with the Institute of Psycho-analysis.
25.
JoinesV. (1991). Transference and transactions: Some additional comments. Transactional Analysis Journal, 21, 170–173.
26.
KembergO. F. (1984). Severe personality disorders: Psychotherapeutic strategies. New Haven, CT: Yale University Press.
27.
KleinM. (1975). Notes on schizoid mechanisms. In KleinM., Envy and gratitude and other works 1946–1963: The writings of Melanie Klein (Vol. III, pp. 1–24). London: Karnac Books and the Institute of Psychoanalysis. (Original work published 1946).
28.
KleinR. (1995). Intrapsychic structures,. In MastersonJ.KleinR. (Eds.), Disorders of the self: New therapeutic horizons: the Masterson approach (pp. 45–68). Philadelphia: Brunner-Mazel.
29.
KohutH. (1971). The analysis of the self. New York: International Universities Press.
30.
LemmaA. (2003). introduction to the practice of psychoanalytic psychotherapy. New York: Wiley.
31.
LittleR. (1999). Working within transference-countertransference transactions. In LeachK. (Ed.), ITA conference papers (not paginated). United Kingdom: Institute of Transactional Analysis.
32.
LittleR. (2000, 29 October). Change: The key to growth [Keynote speech]. Presented at the 2000 conference sponsored by TA in Lothian, Lothian, Scotland.
33.
LittleR. (2001). Schizoid processes: Working with the defenses of the withdrawn child ego state. Transactional Analysis Journal, 31, 33–43.
34.
LittleR. (2005). Integrating psychoanalytic understandings in the deconfusion of primitive child ego states. Transactional Analysis Journal, 35, 132–146.
35.
MastersonJ. F. (1990). The search for the real self: Unmasking the personality disorders of our age. London: The Free Press. (Original work published 1988).
36.
MitchellS. (1993). Hope and dread in psychoanalysis. New York: Basic Books.
37.
MitchellS. (1994). The origin and nature of the “object” in the theories of Klein and Fairbairn. In GrotsteinJ. S.RinsleyD. B. (Eds.), Fairbairn and the origins of object relations (pp. 66–87). London: Free Association Books.
38.
NovellinoM. (1984). Self-analysis of countertransference in integrative transactional analysis. Transactional Analysis Journal, 14, 63–67.
39.
OgdenT. H. (1992). The primitive edge of experience. London: Maresfield Library. (Original work published 1989).
40.
OgdenT. H. (1994). The concept of internal object relations. In GrotsteinJ. S.RinsleyD. B. (Eds.), Fairbairn and the origins of object relations (pp. 88–111). London: Free Association Books.
41.
RackerH. (1972). The meanings and uses of countertransference. Psychoanalytic Quarterly, 41, 487–506.
42.
RosenfeldH. (1987). Impasse and interpretation: Therapeutic and anti-therapeutic factors in the psychoanalytic treatment of psychotic, borderline, and neurotic patients. London: Routledge published in association with the Institute of Psycho-analysis.
43.
RubensR. L. (1994). Fairbairn's structural theory. In GrotsteinJ. S.RinsleyD. B. (Eds.), Fairbairn and the origins of object relations (pp. 151–173). London: Free Association Books.
44.
RycroftC. (1968). A critical dictionary of psychoanalysis. London: Nelson.
45.
ScharffD. (1992). Refinding the object and reclaiming the self. Northvale, NJ: Jason Aronson.
46.
SegalH. (1988). Introduction to the work of Melanie Klein. London: Karnac Books. (Original work published 1973).
47.
SeinfeldJ. (1996). Containing rage, terror, and despair: An object relations approach to psychotherapy. Northvale, NJ: Jason Aronson.
48.
SteinerJ. (1993). Psychic retreats: Pathological organizations in psychotic, neurotic and borderline patients. London: Routledge.
49.
StemS. (1994). Needed relationships and repeated relationships: An integrated relational perspective. Psychoanalytic Dialogues, 4, 317–345.
50.
StewartI. (1992). Eric Berne. London: Sage.
51.
StolorowR. D. (1994). The nature and therapeutic action of psychoanalytic interpretation. In StolorowR. D.AtwoodG. E.BrandchaftB. (Eds), The intersubjective perspective (pp. 43–55). Northvale, NJ: Jason Aronson.
52.
StolorowR. D.BrandchaftB.AtwoodG. E. (2000. Psychoanalytic treatment: An intersubjective approach. Hove and London: The Analytic Press. (Original work published 1995).
53.
TrautmannR.ErskineR. (1981). Ego state analysis: A comparative view. Transactional Analysis Journal, 11, 178–185.
54.
WinnicottD. W. (1965a). The development of the capacity for concern. In WinnicottD. W., The maturational processes and the facilitating environment: Studies on the theory of emotional development (pp. 72–83). London: Hogarth Press. (Original work published 1963).
55.
WinnicottD. W. (1965b). Ego distortion in terms of true and false self. In WinnicottD. W., The maturational processes and the facilitating environment: Studies on the theory of emotional development (pp. 140–152). London: Hogarth Press. (Original work published 1960).
56.
WinnicottD. (1972). Holding and interpreting. New York: Grove.