ABSTRACT

This chapter examines case studies of Klein and Frank. In psychoanalytic treatment, and work with the core unconscious phantasies that shape, distort, or constrict the patient's experience of themselves, others, and day-to-day existence. This clinical situation is best described as the successful establishment of analytic contact. Analytic contact is a way to newly define the process of psychoanalysis from a purely clinical perspective, a process aimed at reaching the core phantasies and conflicts a patient unconsciously struggles with which they often demonstrate through projective identification acting out and other transference-related communications. In day-to-day psychoanalytic practice, one encounters a number of patients who seem to share similar phantasies regarding the desperate longing for a loving object as well as the dread of being rejected by that same object. These are complex conflicts involving paranoid and brittle depressive or pre-depressive phantasies that create tricky if not outright treacherous treatment situations.