Payment as perverse defense.

Full Abstract

A case is discussed in which the patient's management of aspects of the payment process is seen as a focal point in a perverse defensive structure operating in the treatment. Detailed process material is examined with attention to transference and countertransference components of this defensive process. Recent literature on perverse thought and defense is reviewed in order to understand this case in the context of current thinking, to generate new ideas about the nature of perverse defenses, and to consider the potentially special role that money may play in the operation of such defenses in psychoanalysis.

Author information

Author/s: Katz, Wendy Wiener (WW);

Affiliation: Columbia Center for Psychoanalytic Training and Research, USA. wk172(-atsign-)columbia.edu

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: The Psychoanalytic quarterly (Psychoanal Q), published in United States. (Language: eng)

Reference: 2009-Jul; vol 78 (issue 3) : pp 843-69

Dates: Created 2009/08/18; Completed 2009/09/02;

PMID: 19685816, status: MEDLINE (last retrieval date: 9/4/2009, IMS Date: )

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