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In parts of this book its author continues to develop his reflections on narcissism and its pathology, which he has expressed in previous publications, notably in his Fundamentos narcisistas y espejos rotos (1996). Alongside ideas set out in earlier works, we find in Pedro Guillem Nácher's present work, La clínica y el proceso psicoanalítico, a new focus on self-esteem and its management, on the mixing and unmixing of instincts, and on the relationship between ego and superego and between ideals and object relations.
This is a virtually unpublished text. Only chapters 3 and 8, and part of 4, have previously appeared—in the Revista de Psicoanálisis of the Madrid Psychoanalysis Association (APM); and chapter 6, on the psychoanalytical process, was circulated as a monograph among those attending the 7th Symposium of the APM, in November 1998.
With a simplicity one sees only in authors of great experience, Pedro Guillem brings us closer to his work as a psychoanalyst of the last few years as he outlines the process that has led to the development and integration of the theoretical and technical criteria influencing the construction of his referential frame—this last being especially evident in the opening chapter, devoted to the analysis of an agoraphobic patient. The analysis unfolds in two stages. In the first stage, the establishment of a sado-masochistic dynamic between patient and analyst, with predominantly oedipal interpretations, culminates in destructive behaviour on the part of the analysand, which interrupts the cure. In the second stage, the patient's return to analysis enables the therapist to deepen his knowledge of the former's manic defence mechanisms. This has a decisive impact on his technique, which, this time, enables the favourable development of the analytical process and access to the elaboration of the patient's melancholic nucleus. The elaboration of the countertransference is very well described, as difficult as it is important in these cases. Pe