Development from archaic to mature selfobject transferences

Heinz Kohut has contributed a new understanding of altered states as fixations on aspects of early developmental forms of selfobjects. Fixations can occur as a result of inadequate empathic relatedness necessary for the internalization of anxiety relieving functions. Fixations on aspects of archaic forms of the idealized selfobject may take the form of ecstatic, trance-like religious feelings. These altered states provide needed sensations that substitute for missing psychic structure. Understanding the self sustaining function that these altered states provide is crucial to the treatment. The author shares moment to moment steps in the treatment of a highly successful professional who is addicted to heightened sensation states. The development of new editions of the selfobject transferences are followed in the treatment—from primitive idealization to more mature forms of selfobject transferences.Presented at the Third National Clinical Conference of the Committee on Psychoanalysis, National Federation of Societies for Clinical Social Work.