AMMONS CONCEPT OF THE HOLED EGO

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1993-01-01
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Paiva, Luiz Miller de [UNIFESP]
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The author summarizes Ammon's concept of the Hole in the Ego as a structural narcissistic deficit whose roots are to be found in the early symbiotic bond between mother and child, within a pathological primary group. It is characteristic of the archaic ego-diseases and becomes clinically relevant with symptoms which demand a therapeutic approach basically different from the symptoms of neuroses. Miller de Paiva reviews the literature on the subject and compares Ammon's concept with similar dynamic views of early structural personality lesions. He emphasizes the importance of recognizing the basic anxiety and the difficulty of introjection and symbolization, reactualized in the transferential- countertransferential analytic situation established between therapist and patient. The authors argues against Ammon's therapeutic technique of using initial supporting and subsequent analytic treatment. In his view, through the empathic guidance of the analyst, which also includes his interpretative interventions, the patient will be able to accept his support and finally to fill the holes in his ego.
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Dynamische Psychiatrie. Berlin: Pinel-verlag Fur Humanistische Psych Philos, v. 26, n. 5-6, p. 303-315, 1993.
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