Die Löschung des Objekts – ein Beitrag zur Psychoanalyse des Alkoholismus
摘要
This paper refers to ideas from early psychoanalytic works on the consumption of addictive substances, particularly alcohol, and their continuation by Rosenfeldt in the 1960s, which examined the function of addictive substance consumption in the pathological coping with unbearable ambivalences in external and internalized object relations. The basic idea that addictive substances enable the temporary erasure of neediness and regression to an omnipotent-narcissistic state by chemical means is pursued further in this text and illustrated by the analytical treatment of an alcohol-dependent patient. The treatment failed not least because of the analyst’s inability to analytically grasp a paralyzing transference-countertransference entanglement as a result of invasive projective identifications. The work is also an attempt to understand this failure psychoanalytically in terms of a culture of error. The paper concludes by discussing whether the dissolution of the subject-object differentiation should be seen as a consequence of a regression to a primary narcissistic state of intoxication. This approach emphasizes the perspective of object relations in the psychoanalytic theory of alcoholism by focusing more sharply on the aspect of early childhood agonizing fear of dependence and its omnipotent defense.