Comment on Jill Scharff's Clinical Case

Abstract

The discussant begins by describing her British Object-Relations perspective. She emphasizes the difference between obstructive or critical forces within the personality which are best described as a part of the self and those which are felt by the patient to have a quality of otherness about them: the latter are better conceptualized as internal objects since this is closer to the patient's subjective experience. The author stresses the importance—in Scharff's patient's inner world—of the useless maternal—and impotent paternal—object. ‘Stupid’ rather than ‘bad’ objects can affect introjective processes and limit the patient's intellectual functioning because, where the world is seen as uninteresting and unstimulating, it is therefore not worth attending to nor learning from. The author also made a further point. She saw the patient's repetitive bitter self-criticisms, although partly arising out of deprivation, depression, and abuse, as also possibly containing an element of masochistic pleasure in suffering and failure. This would raise delicate technical issues in balancing a sensitive approach to the real suffering with a clearly stated recognition of the addictive repetitive masochistic quality which accompanies it and which may be blocking recovery.