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This chapter is intended as a contribution to the exploration of the paranoid-schizoid position in object relations, as defined by Melanie Klein. It is the result of analytic work employing the deeper understanding of personality made possible by her discoveries of the role of splitting processes in the formation of psychic structure and the mechanism of projective identification in the dynamics of object relations.
A spectrum of psychic pains is subsumed under the category of paranoid anxieties, the study of which has been begun in detail by other authors, e.g. confusion by Rosenfeld, catastrophic anxiety by Segal and Bion, nameless dread by Bion. Less well-defined terms such as hopelessness, despair, helplessness, must also be dealt with, but this paper is limited to three: terror, persecution, and dread. I will attempt to define these mental pains metapsychologically and to show their place and interaction in the analytical process, employing a case presentation to show them at work.
Although this cultured and intelligent man in his late thirties entered analysis because of somatic symptoms, extensive character pathology was soon revealed. Early in the analysis the narcissistic organisation expressed itself clearly in the following dream: He was walking uphill on a lonely woodland track and saw another man about his age, a former business client of very paranoid disposition, ahead of him. When the track divided, instead of going to the right as he had intended, he followed the other man, going down on to a beach which he recognised as belonging to the village where he had been born (and from which he had departed at the age of six months when his parents emigrated). On the beach he listened with admiration as the other man declaimed at length about his income and importance, how even on holiday he had to keep in constant touch with his office, as they could do nothing without his advice.
As this part of his infantile structure showed up several times in