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Although I am in basic agreement with the main thrust of each presentation in this book, I do have some minor disagreements with and some major additions to make to the positions taken by the authors. I take a more eclectic approach than they do, and one which affords me what I believe to be a greater number and variety of conceptual tools for application in psychoanalytic theory and practice. I believe it is necessary to supplement and complement the tenets of modern structural theory in order to adequately encompass behaviors exhibited by individuals experiencing disorders far more primitive than those we call neurotic. To achieve this I rely on the work of object relations theorists including Klein (1946), Bion (1957a), Grotstein (1977), Kohut (1977), and Kernberg (1988a, b).
Central to my approach to the understanding and organization of the data of human behavior is the concept of unconscious fantasy. I view unconscious fantasy as starting in earliest infancy when it takes the form of the internal registration of bodily centered events, as protofantasy or coenesthetic sensations (Isaacs,