Main Article Content
Objective: To present an extension to Heinz Kohut’s concept of selfobjects that will allow treatment and a cure of disorders. It is proposed that the undifferentiated selfobject (Rowe, 2005, 2008, 2010, 2013, 2014, 2020) is the key to understanding the formation and treatment of disorders that are characterized by preoccupations with destructive thoughts and actions. By destructive I am referring to preoccupations that can be harmful to oneself (e.g., impulse disorders: World Health Organization [WHO], 1992, p.11; Blais et al., 2016; Clark, 2011; Heydari & Khorram, 2015; Shea et al., 1990). Since all disorders are not characterized by preoccupations with destructive thoughts and actions (ICD-10, pp. 1-3; American Psychiatric Association, 2013, pp. 101-105), the disorders described in this article will be referred to as preoccupation disorders. They include but not limited to major depressive disorders, bipolar affective disorders, obsessive compulsive disorders, obsessive compulsive personality disorders, paranoid personality disorders, eating disorders, and impulse disorders.
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
2. Blais, M. A., Smallwood, P., Groves , J. E., Rivas-Vazquez, R.A., &Hopwood, C. J. (2016)
3. Chapter 39: Personality and personality disorders. In T. A. Stern, M. Fava, T. E. Wilen, J. F Rosenbaum (Eds.), Massachusetts general hospital comprehensive clinical psychiatry (2nd ed.). Philadelphia, PA: Elsevier.
4. Clark, D . M. (2011). Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience. Retrieved November 10, 2017 from Pub Med data base.
5. Cohen, M. X, & Shaver, P. R. (2004). Avoidant attachment and hemispheric lateralization of the processing of attachment and emotion-related words. Cognition and Emotions, 18(6), 799-814.
6. Dostoevsky, F. (2002). The idiot. New York: A.A. Knopf (Everyman's Library).
7. Gordon, O. M., Salkovskis, P. M., Oldfield, V. B., & Carter N. (2013). The association between obsessive compulsive disorder and obsessive-compulsive personality disorder: Prevalence and clinical presentation. British Journal of Clinical Psychology, 52(3), 300-315. www.ncbi.nim.nih.gov/pubmed/23865406.
8. Heydari S. & Khorram R. (2015). Some effective factors for diagnostic and treatment of disordered b treatment of disordered behaviors with reporting treated cases: Journal of Mental Disorders and Treatment, 1, 104. doi:10.4172/2471-271X.1000104. Retrieved 11 November 2017 from Journal of Mental Disorders and Treatment. Int Review of Psychiatry. 2011 Aug; 23(4):318-27. doi:10.4172/2471-271X.1000104. Retrieved 11 November 2017 from Journal of Mental Disorders and Treatment. Int Review of Psychiatry.2011 Aug; 23(4):318-27. doi:10.3109/09540261.2011.606803. Review. MID: 22026487.
9. Kohut, H. (1984). How does analysis cure? A. Goldberg & P. Stepansky (Eds.). Chicago: The University of Chicago Press.
10. Rowe, C. (2005). Treating the basic self: Understanding addictive, suicidal, compulsive, and attention-deficit/hyperactive (ADHD) behavior. New York: Psychoanalytic Publishers.
11. Rowe, C. (2008). The impact of a traumatic birth injury to the internal world of an adult patient: A self-psychological psychoanalysis. The Psychoanalytic Review, 95(1), 107- 129.
12. Rowe, C. (2010). The undifferentiated selfobject, a contribution to understanding symptomatic behavior and fixation: The suicidal patient. The Psychoanalytic Review, 97(1), 45-71.
13. Rowe, (2014). Disorders as undifferentiated selfobject formations: Treatment of a multidisordered patient. The Psyhoanalytic Review, 101(3), 341-366.
14. Rowe, C. (2020). Extending Kohut's concept of selfobject: The Undifferentiated selfobject. Clinical Social Work Journal, 41(1), 26-33. \
15. Rowe, (2020). Treatment of an obsessive-compulsive personality disorder: A self psychological perspective. Psychoanalytic Social Work, 27(1), 17-30.
16. Shea, M.T., Pilkonis, P.A., Beckham, E., Collins, J. F., Elkin I., Sotsky, S. M., & Docherty, J. P. (1990). Personality Disorders and Treatment Outcome in the NIMH Treatment Collaborative Research Program. American Journal of Psychiatry, 147:711-718.
17. Schore, A. N. (2001). The effects of a secure attachment relationship on right brain development, affect regulation, and infant mental health. Infant Mental Health Journal, 22(1-2), 7-66.
18. Stern D. N. (2003). Affect dysregulation and disorders of the self. New York. W.W. Norton.
19. Stern, D. N. (1985). The interpersonal world of the infant. New York: Basic Books.
20. The Child Study Group of the New York Institute for Psychoanalytic Self Psychology (Film project I Videotape. (2006).
21. Watt, D. F. (2003). Psychotherapy in an age of neuroscience: Bridges to affective neuroscience. In J. Corrial and H. Wilkinson (Eds.), Revolutionary connections. Psychotherapy and neuroscience (pp. 79-115). Karnac: London.
22. World Health Organization. (1992). The ICD-10, Classification of mental and behavioural disorders clinical descriptions and diagnostic guidelines. Geneva, Switzerland.