Depressive Anxiety
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Depressive Anxiety
Depressive anxiety is a term developed in relation to the depressive position by Melanie Klein, building on Freud's seminal article on object relations of 1917, 'Mourning and Melancholia'. Depressive anxiety revolved around a felt state of inner danger produced by the fear of having harmed good internal objects - as opposed to the persecutory fear of ego annihilation more typical of paranoid anxiety. It may be distinguished from a depressive mood, which need not necessarily be tinged with anxiety. Stages Depressive anxiety can be aroused at every developmental stage, from weaning through to the loss of familial dependence of adolescence or of one's youth in later life. Continual oscillation between paranoid and depressive anxieties can create a sense of psychic imprisonment; while conversely a lasting shift from the former to the latter can be seen as one of the marks of a successful analytic process. Defences Defences against depressive anxiety include projective identificati ...
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Paranoid-schizoid And Depressive Positions
In development psychology, Melanie Klein proposed a "(psychic) position theory" instead of a " (psychic) stage theory". Paranoid-schizoid position In object relations theory, the paranoid-schizoid position is a state of mind of children, from birth to four or six months of age. Melanie Klein has described the earliest stages of infantile psychic life in terms of a successful completion of development through certain ''positions''. A position, for Klein, is a set of psychic functions that correspond to a given phase of development, always appearing during the first year of life, but which are present at all times thereafter and can be reactivated at any time. There are two major positions: the paranoid-schizoid position and the subsequent depressive position. The earlier more primitive position is the paranoid-schizoid position and if an individual's environment and up-bringing are satisfactory, she or he will progress through the depressive position. The paranoid-schizoid posit ...
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Paranoia
Paranoia is an instinct or thought process that is believed to be heavily influenced by anxiety or fear, often to the point of delusion and irrationality. Paranoid thinking typically includes persecutory beliefs, or beliefs of conspiracy concerning a perceived threat towards oneself (i.e. ''"Everyone is out to get me"''). Paranoia is distinct from phobias, which also involve irrational fear, but usually no blame. Making false accusations and the general distrust of other people also frequently accompany paranoia. For example, a paranoid person might believe an incident was intentional when most people would view it as an accident or coincidence. Paranoia is a central symptom of psychosis.Green, C., Freeman, D., Kuipers, E., Bebbington, P., Fowler, D., Dunn, G., & Garety, P. (2008). Measuring ideas of persecution and social reference: the Green et al. Paranoid Thought Scales (GPTS). ''Psychological Medicine, 38'', 101 - 111. Signs and symptoms A common symptom of paranoia is the ...
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Depression (psychology)
Depression is a mental state of low mood and aversion to activity, which affects more than 280 million people of all ages (about 3.5% of the global population). Classified medically as a mental and behavioral disorder, the experience of depression affects a person's thoughts, behavior, motivation, feelings, and sense of well-being. The core symptom of depression is said to be anhedonia, which refers to loss of interest or a loss of feeling of pleasure in certain activities that usually bring joy to people. Depressed mood is a symptom of some mood disorders such as major depressive disorder and dysthymia; it is a normal temporary reaction to life events, such as the loss of a loved one; and it is also a symptom of some physical diseases and a side effect of some drugs and medical treatments. It may feature sadness, difficulty in thinking and concentration and a significant increase or decrease in appetite and time spent sleeping. People experiencing depression may have f ...
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Borderline Personality Disorder
Borderline personality disorder (BPD), also known as emotionally unstable personality disorder (EUPD), is a personality disorder characterized by a long-term pattern of unstable interpersonal relationships, distorted sense of self, and strong emotional reactions. Those affected often engage in self-harm and other dangerous behaviors, often due to their difficulty with returning their emotional level to a healthy or normal baseline. They may also struggle with a feeling of emptiness, fear of abandonment, and detachment from reality. Symptoms of BPD may be triggered by events considered normal to others. BPD typically begins by early adulthood and occurs across a variety of situations. Substance use disorders, depression, and eating disorders are commonly associated with BPD. Some 8 to 10% of people affected by the disorder may die by suicide. The disorder is often stigmatized in both the media and the psychiatric field and as a result is often underdiagnosed. The causes of ...
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Paranoid Personality Disorder
Paranoid personality disorder (PPD) is a mental illness characterized by paranoid delusions, and a pervasive, long-standing suspiciousness and generalized mistrust of others. People with this personality disorder may be hypersensitive, easily insulted, and habitually relate to the world by vigilant scanning of the environment for clues or suggestions that may validate their fears or biases. They are eager observers. They think they are in danger and look for signs and threats of that danger, potentially not appreciating other interpretations or evidence. They tend to be guarded and suspicious and have quite constricted emotional lives. Their reduced capacity for meaningful emotional involvement and the general pattern of isolated withdrawal often lend a quality of schizoid isolation to their life experience. People with PPD may have a tendency to bear grudges, suspiciousness, tendency to interpret others' actions as hostile, persistent tendency to self-reference, or a tenacious ...
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Persecutory Delusion
A persecutory delusion is a common type of delusional condition in which the affected person believes that harm is going to occur to oneself by a persecutor, despite a clear lack of evidence. The person may believe that they are being targeted by an individual or a group of people. Persecution delusions are very diverse in terms of content and vary from the possible, albeit improbable, to the completely bizarre. The delusion can be found in a multitude of disorders being more usual in psychotic disorders, such as schizophrenia, schizoaffective disorder and delusional disorder. Persecutory delusion is at the more severe side of the paranoia spectrum and it often induces anxiety, depression and sleep disturbance, patients with this delusion have also been found to have a low self-esteem. Persecutory delusions have a high percentage to be acted upon, such as not leaving the house due to fear or acting violently. Persecutory type is a common type of delusion and is more prevalent in mal ...
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Delusional Disorder
Delusional disorder is a mental illness in which a person has delusions, but with no accompanying prominent hallucinations, thought disorder, mood disorder, or significant flattening of affect.American Psychiatric Association. (2013). ''Diagnostic and Statistical Manual of Mental Disorders'', (5th ed., text revision). Washington, DC: American Psychiatric Association. Delusions are a specific symptom of psychosis. Delusions can be bizarre or non-bizarre in content; non-bizarre delusions are fixed false beliefs that involve situations that could occur in real life, such as being harmed or poisoned.Hales E and Yudofsky JA, eds, ''The American Psychiatric Press Textbook of Psychiatry'', Washington, DC: American Psychiatric Publishing, Inc., 2003 Apart from their delusion or delusions, people with delusional disorder may continue to socialize and function in a normal manner and their behavior does not necessarily generally seem odd.Winokur, George."Comprehensive Psychiatry-Delusional D ...
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Panic Attack
Panic attacks are sudden periods of intense fear and discomfort that may include palpitations, sweating, chest pain or chest discomfort, shortness of breath, trembling, dizziness, numbness, confusion, or a feeling of impending doom or of losing control. Typically, symptoms reach a peak within ten minutes of onset, and last for roughly 30 minutes, but the duration can vary from seconds to hours. Although they can be extremely frightening and distressing, panic attacks themselves are not physically dangerous. The essential features of panic attacks remain unchanged, although the complicated DSM-IV terminology for describing different types of panic attacks (i.e., situationally bound/cued, situationally predisposed, and unexpected/uncued) is replaced with the terms unexpected and expected panic attacks. Panic attacks function as a marker and prognostic factor for severity of diagnosis, course, and comorbidity across an array of disorders, including but not limited to anxiety disord ...
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Querulant
In the legal profession and courts, a querulant (from the Latin ''querulus'' - "complaining") is a person who obsessively feels wronged, particularly about minor causes of action. In particular the term is used for those who repeatedly petition authorities or pursue legal actions based on manifestly unfounded grounds. These applications include in particular complaints about petty offenses. Querulant behavior is to be distinguished from either the obsessive pursuit of justice regarding major injustices, or the proportionate, reasonable, pursuit of justice regarding minor grievances. According to Mullen and Lester, the life of the querulant individual becomes consumed by their personal pursuit of justice in relation to minor grievances. Use in psychiatry In psychiatry, the terms querulous paranoia ( Kraepelin, 1904) and litigious paranoia have been used to describe a paranoid condition which manifested itself in querulant behavior. The concept had, until 2004, disappeared from t ...
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Didier Anzieu
Didier Anzieu (; 8 July 1923, Melun – 25 November 1999, Paris) was a distinguished French psychoanalyst. Life Anzieu studied philosophy and was a pupil of Daniel Lagache, before undertaking his first psychoanalysis with Jacques Lacan. Then, after discovering that Lacan had also treated his mother ( "Aimée"), he began a second analysis with Georges Favez. He retained a deep grudge against Lacan's lack of candor and later also condemned the excesses and arbitrary practices of the Lacanians — highlighting the latter's 'unending dependence on an idol, a logic, or a language', as well as the pervasively tantalizing element in Lacan's approach, with 'fundamental truths to be revealed...but always at some further point'. Among Anzieu's many significant contributions to psychoanalysis were his work on Freud's self-analysis and his extensive study of groups, relying in particular on the work of Wilfred Ruprecht Bion. Building on the writings of such psychoanalysts as Melanie Klein ...
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Melanie Klein
Melanie Klein (née Reizes; 30 March 1882 – 22 September 1960) was an Austrian-British author and psychoanalyst known for her work in child analysis. She was the primary figure in the development of object relations theory. Klein suggested that pre-verbal existential anxiety in infancy catalyzed the formation of the unconscious, resulting in the unconscious splitting of the world into good and bad idealizations. In her theory, how the child resolves that split depends on the constitution of the child and the character of nurturing the child experiences; the quality of resolution can inform the presence, absence, and/or type of distresses a person experiences later in life. Life Melanie Klein was born into a Jewish family and spent most of her early life in Vienna. She was the fourth and final child of parents Moriz, a doctor, and Libussa Reizes. Educated at the Gymnasium, Klein planned to study medicine. Her family's loss of wealth caused her to change her plans. At the age ...
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John Steiner (psychoanalyst)
John Steiner (born 1934) is a psychoanalyst, author and trainer at the British Psychoanalytical Society. Steiner, a "prolific London post- Kleinian", is best known for his conceptions of the "pathological organisation" or the "psychic retreat"...between the paranoid-schizoid and the depressive positions'. His book, ''Psychic Retreats'', describes a treatment methodology for patients with complex defence mechanisms that are difficult to treat with conventional psychoanalysis. Mental Organization The paranoid-schizoid position John Steiner separates this into two poles: # Pathological fragmentation is regarded as the most archaic. This is where splitting has failed to contain anxiety, and the ego breaks up in self-defense. The defensive operation of "fragmentation" brings with it a deathly sense of anguish, a sense of chaos that can result in impressive and spectacular clinical scenarios. # Normal splitting, which is primarily seen as a progressive process. The distinction betwe ...
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