THE NEW LIBRARY OF PSYCHOANALYSIS The New Library of Psychoanalysis was launched in 1987 in association with the Institute of Psycho-Analysis, London. Its purpose is to facilitate a greater and more widespread appreciation of what psychoanalysis is really about and to provide a forum for increasing mutual understanding between psychoanalysts and those working in other disciplines such as history, linguistics, literature, medicine, philosophy, psychology and the social sciences. It is intended that the titles selected for publication in the series should deepen and develop psychoanalytic thinking and technique, contribute to psychoanalysis from outside, or contribute to other disciplines from a psychoanalytic perspective. The Institute, together with the British Psycho-Analytical Society, runs a low-fee psychoanalytic clinic, organizes lectures and scientific events concerned with psychoanalysis, publishes the International Journal of Psycho-Analysis and the International Review of Psycho-Analysis, and runs the only training course in the UK in psychoanalysis leading to membership of the International Psychoanalytical Association—the body which preserves internationally agreed standards of training, of professional entry, and of professional ethics and practice for psychoanalysis as initiated and developed by Sigmund Freud. Distinguished members of the Institute have included Michael Balint, Wilfred Bion, Ronald Fairbairn, Anna Freud, Ernest Jones, Melanie Klein, John Rickman and Donald Winnicott. Volumes 1–11 in the series have been prepared under the general editorship of David Tuckett, with Ronald Britton and Eglé Laufer as associate editors. Subsequent volumes are under the general editorship of Elizabeth Bott Spillius, with, from Volume 17, Donald Campbell, Michael Parsons, Rosine Jozef Perelberg and David Taylor as associate editors. ALSO IN THIS SERIES 1 Impasse and Interpretation Herbert Rosenfeld 2 Psychoanalysis and Discourse Patrick Mahoney 3 The Suppressed Madness of Sane Men Marion Milner 4 The Riddle of Freud Estelle Roith 5 Thinking, Feeling, and Being Ignacio Matte Blanco 6 The Theatre of the Dream Salomon Resnik 7 Melanie Klein Today: Volume 1, Mainly Theory Edited by Elizabeth Bott Spillius 8 Melanie Klein Today: Volume 2, Mainly Practice Edited by Elizabeth Bott Spillius 9 Psychic Equilibrium and Psychic Change: Selected Papers of Betty Joseph Edited by Michael Feldman and Elizabeth Bott Spillius 10 About Children and Children-No-Longer: Collected Papers 1942–80 Paula Heimann. Edited by Margret Tonnesmann 11 The Freud-Klein Controversies 1941–45 Edited by Pearl King and Riccardo Steiner 12 Dream, Phantasy and Art Hanna Segal 13 Psychic Experience and Problems of Technique Harold Stewart 14 Clinical Lectures on Klein and Bion Edited by Robin Anderson 15 From Fetus to Child Alessandra Piontelli 16 A Psychoanalytic Theory of Infantile Experience: Conceptual and Clinical Reflections E.Gaddini. Edited by Adam Limentani 17 The Dream Discourse Today Edited and introduced by Sara Flanders 18 The Gender Conundrum: Contemporary Psychoanalytic Perspectives on Femininity and Masculinity Edited and introduced by Dana Breen 19 Psychic Retreats John Steiner 20 The Taming of Solitude: Separation Anxiety in Psychoanalysis Jean-Michel Quinodoz 21 Unconscious Logic: An Introduction to Matte-Blanco’s Bi-logic and its Uses Eric Rayner 22 Understanding Mental Objects Meir Perlow 23 Life, Sex and Death: Selected Writings of William Gillespie Edited and introduced by Michael Sinason 24 What Do Psychoanalysts Want? The Problem of Aims in Psychoanalytic Therapy Joseph Sandler and Anna Ursula Dreher For Barbara, Brian and Rosalind Michael Balint While Michael Balint’s applied work is widely known, many of his theoretical contributions have been incorporated into everyday analysis without due recognition of their source. In this account of his thinking, Harold Stewart evaluates the extent of Balint’s contribution to psycho-analysis and firmly re-establishes his place within the development of object relations theory. The first part examines Balint’s theories of human psychological development, defining such concepts as primary love, ocnophilia and philobatism, the basic fault and the three areas of the mind. The author places Balint’s understanding of the analyst’s influence and technique and of therapeutic regression in the context of his relationship with Sandor Ferenczi, his analyst and mentor. The second part looks at how the ‘Balint group’ has contributed to the assessment and understanding of emotional problems in various arenas, including general practice, marital work and psychosexual medicine. Balint was a charismatic teacher, and his work with general practitioners has become an established, world-wide institution. Features of this work, including the use of counter- transference and the affective response of the doctor, are vividly described here by Andrew Elder and Robert Gosling. Michael Balint: Object Relations Pure and Applied brings alive Balint’s teaching and practice and demonstrates the relevance of his theories to many of the problematic issues in current analytic practice. Harold Stewart is training analyst and supervisor at the British Psycho-Analytical Society. He is the author of Psychic Experience and Problems of Technique, also in this series. General editor: Elizabeth Bott Spillius Michael Balint Object Relations Pure and Applied Harold Stewart with chapters by Andrew Elder and Robert Gosling London and New York First published 1996 by Routledge 11 New Fetter Lane, London EC4P 4EE Simultaneously published in the USA and Canada by Routledge 29 West 35th Street, New York, NY 10001 Routledge is an International Thomson Publishing company This edition published in the Taylor & Francis e-Library, 2005. "To purchase your own copy of this or any of Taylor & Francis or Routledge's collection of thousand of eBook please go to www.eBookstore.tandf.co.uk." © 1996 Harold Stewart with chapters by Andrew Elder and Robert Gosling All rights reserved. No part of this book may be reprinted or reproduced or utilized in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage and retrieval system, without permission in writing from the publishers. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data A catalogue record for this book has been requested ISBN 0-203-36039-7 Master e-book ISBN ISBN 0-203-37715-X (Adobe e-Reader Format) ISBN 0-415-14465-5 (Print Edition) ISBN 0-415-14466-3 (pbk) Contents Preface xi Biographical sketch xiii Introduction xvii Part One: Psychoanalysis 1 Primary Love and Psychoanalytic Technique (1952) 3 2 Problems of Human Pleasure and Behaviour (1956) 20 3 Thrills and Regressions (1959) 24 4 The Basic Fault (1968) 32 5 A theory of trauma and psychoanalytic education 44 6 Critiques and further developments 50 Part Two: Applied psychoanalysis 7 Applied psychoanalysis 62 8 The general practitioner training scheme 66 Robert Gosling 9 GP training and psychoanalysis 77 Robert Gosling 10 Moments of change 86 Andrew Elder Michael Balint: a select bibliography 104 References 108 Name index 110 Subject index 114