Narcissistic neurosis
Narcissistic neurosis is a collective term in the disease systematics of psychoanalysis . Freud initially referred to all psychoses as narcissistic neuroses, especially schizophrenia and manic-depressive illness . He considered these disorders, known as severe mental illnesses, to be too inaccessible with psychoanalytic technology. He therefore distinguished them from the transference neuroses, which he considered to be easier to influence psychotherapeutically. For Freud, the ability to transfer a patient to be treated was a decisive criterion for therapeutic success. Freud attributed the inadequate or inadequate transference ability to a narcissistic regression to the oral phase. This regression related to his concept of narcissism . The psychological energy ( libido ) is withdrawn from the therapist and back onto the self . Today this fact is seen as a lack of object relation ( object relation theory ).
History of Psychiatry
The term narcissistic neurosis was the subject of heated debates - fought between supporters of various nosological theories. Proponents of somatogenesis and those of psychogenesis faced each other. The key point of these differences was the importance and justification of the classification of the group of so-called endogenous psychoses . Supporters of the theory of endogenous psychoses took the standpoint of somatogenesis, those of psychoanalysis supported psychogenesis. Representatives of classical German psychiatry therefore considered the concept of narcissistic neurosis to be outdated as early as 1968. B. the Heidelberg psychosomaticist Walter Bräutigam . In contrast, proponents of psychogenesis consider the term endogenous psychoses to be out of date. Both terms, endogenous psychoses as well as narcissistic neuroses, have survived this conflict. However, the term narcissistic neurosis has undergone a change in meaning. It is no longer related to all psychoses as Freud did, but is synonymous with narcissistic personality disorders as long as their dynamics correspond to a neurosis or are not accompanied by the danger of ego fragmentation. It needs to be differentiated from borderline disorders as well as from Freud's transference neuroses.
literature
- Martin Altmeyer : Narcissism and Object . An intersubjective understanding of self-centeredness. 2nd edition 2004, ISBN 978-3-525-45872-3
Individual evidence
- ^ Freud, Sigmund : Neurose und Psychose , (1923 [1924 b]), in: Gesammelte Werke, Vol. XIII (6th edition), pages 387–391; 390
- ^ A b Battegay, Raymond : Narcissism and object relationships . Via the self to the object. Verlag Hans Huber, Bern 4 2008, ISBN 978-3-456-84509-8 ; Pages 13, 155 ff., 195 ff.
- ↑ Peters, Uwe Henrik : Lexicon of Psychiatry, Psychotherapy, Medical Psychology . Urban & Fischer, Munich 6 2007; ISBN 978 3-437-15061-6 ; Page 364 (online)
- ^ Bridegroom, Walter : reactions, neuroses, psychopathies . (1968) dtv Wissenschaftliche Reihe, Georg Thieme, Stuttgart 2 1969; Page 75
