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Fantasies whose core is constituted by the notions of “someday” and “if only” are ubiquitous in human psyche. In severe character pathology, however, these fantasies have a particularly tenacious, defensive, and ego-depleting quality. The “someday” fantasy idealizes the future and fosters optimism, and the “if only” fantasy idealizes the past and lays the groundwork for nostalgia. The two fantasies originate in the narcissistic disequilibrium consequent upon the early mother-child separation experiences, though the oedipal conflict also contributes to them. Both can be employed as defenses against defective self and object constancy as well as later narcissistic and oedipal traumas. This paper attempts to highlight the metapsychology and behavioral consequences of these fantasies as well as their unfolding in the treatment situation. It suggests six tasks to be especially important for analytic work with such patients: (1) providing and sustaining a meaningful “holding environment”; (2) employing “affirmative interventions”; (3) helping the patient unmask these fantasies and interpreting their defensive, narcissistic and sadomasochistic aspects; (4) rupturing the patient's excessive hope, analyzing the
Professor of Psychiatry, Jefferson Medical College; Training and Supervising Analyst, Philadelphia Psychoanalytic Institute.
Presented at a conference on “Borderline States” sponsored by Recontre Franco-Americaine de Psychanalyse and held at the University of Paris VII, November 5-6, 1994. Also presented to the Philadelphia Psychoanalytic Society, September 21, 1994; The New Jersey Institute for Training in Psychoanalysis, October 23, 1994; Psychoanalytic Institute of New England, March 25, 1995; and The Association for Psychoanalytic Medicine in New York, June 6, 1995.
The author wishes to thank the discussants, Drs. Juan David Nasio (Paris), Sydney Pulver (Philadelphia), Jack Schwartz (Teaneck, NJ), Ralph Beaumont (Boston), and Arnold Cooper (New York) for their valuable comments. He is also grateful to Drs. Phillip Escoll and Selma Kramer for their helpful suggestions on an earlier version of this paper, to Drs. Wilfred Abse and Ira Brenner for pointing out some references, and to Drs. Cordula Holzer, Judith Feher-Gurewich, and Michelle Berlinerblau for their assistance in translating pertinent German and French articles.
Submitted for publication November 22, 1994.