Introduction to the Papers of Phyllis W. Meadow on Theory of Technique

In the years since Freud, psychoanalysts of all schools have focused on narcissism, aggression and preoedipal life, and have advanced their theoretical understanding and willingness to treat what were formally considered unanalyzable cases. While understanding of such cases has advanced, the theory of technique still relies heavily upon interpretation and insight. Furthermore, the goal of treatment is often the recovery of memories and the understanding of how early object relations have affected the patient's functioning. Meadow, in a radical departure form this focus on reconstruction emphasizes active conflicts interfering with current functioning. She has, in the last several decades, been demonstrating how the management of destructive impulsivity may be used in diagnosis, technique, and for the theory of technique. The techniques by which modern analysis is known are derived from a drive theory model.

In “How We Aim To Be With Patients” Meadow notes that destructive impulsivity is the dominant force in the preverbal personality. In the beginning the patient may try to avoid having a relationship. The analyst creates an environment in which wishes and longings can surface. Analysts then experience their own regression and are “contaged by the destructive impulses buried in the patient's personality.” She goes on to say “the real cure of narcissism lies in my ability to feel what the patient feels.” She warns against trying to explain things to the patient feels.” She warns against trying to explain things to the patient and recommends that the analyst not introduce new or alien concepts, attempt to educate the patient, or