>The larger point of the article is that psychiatrists hate their psychotic
>patients, which is why they shocked them and cut up their brains in 1949
>and earlier.
>
>Doug
IIRC, he was talking about how the treatment of these "difficult" patients becomes problematic because their behavior tends to demand a merging of the boundaries between analyst and patient. the response to this narcissistic demand from the patient is a similar response from the physician: an inappropriate splitting premised on a failure to recognize boundaries. i.e., projection or hatred aimed at the patient. he was interested in confronting this problem b/c the goal was to acknowledge the hate "without doing anything about it."
winnicott is most noted for the position that it is precisely when people cannot manage their contradictory feelings of both love and destruction that they tend to side with destruction in one way or another: either self hate or hate targeted at an Other.
splitting which is, gee, what i was objecting in a post of last night.
have a great weekend!
kelley