Clinical Dimensions of Masochism
- 1 August 1988
- journal article
- research article
- Published by SAGE Publications in Journal of the American Psychoanalytic Association
- Vol. 36 (4) , 1005-1029
- https://doi.org/10.1177/000306518803600407
Abstract
In this paper, I propose a general classification of masochistic psychopathology and describe relations between this clinical domain and, other types of psychopathology. My main objective is to provide an outline relevant for diagnostic, prognostic, and treatment considerations of masochistic pathology. This includes descriptions of and relations among a wide variety of masochistic phenomena from the depressive-masochistic personality to extreme forms of self-de-structiveness. Ego organization, object relations, superego development, narcissistic organization, and polymorphous perverse infantile sexuality are considered as codeterminants of the levels and clinical features of masochistic pathology. Finally, the relations between masochistic pathology and negative therapeutic reactions are reexamined.Keywords
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