Depressive anxiety explained

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'.^[1] Depressive anxiety revolved around a felt state of inner danger produced by the fear of having harmed good internal objects^[2] - as opposed to the persecutory fear of ego annihilation more typical of paranoid anxiety.^[3]

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.^{[4] [5]} Continual oscillation between paranoid and depressive anxieties can create a sense of psychic imprisonment;^[6] while conversely a lasting shift from the former to the latter can be seen as one of the marks of a successful analytic process.^[7]

Defences

Defences against depressive anxiety include projective identification, whereby the anxieties are denied in oneself and placed in another person;^[8] a manic denial of the reality of an inner world at all;^[9] or a psychic retreat into a reduced and apathetic state of diminished feelings.^[10]

Didier Anzieu saw Freud's theoretical construction of psychoanalysis as a compulsive intellectualized defence against depressive anxiety.^[11]

See also

• Paranoia
• Querulant
• Panic attack
• Delusional disorder
• Persecutory delusion
• Paranoid personality disorder
• Borderline personality disorder
• Depression (psychology)

Further reading

• Klein, Mélanie (1946). "Notes on some schizoid mechanisms". Envy and gratitude and other works 1946–1963. Hogarth Press and the Institute of Psycho-Analysis (published 1975). .
• Klein, Mélanie; Riviere, Joan (1964) "Love, guilt, and reparation" in link Love, Hate, and Reparation New York, NY: Norton
• Grotstein, James S. (1981). Splitting and projective identification. New York, NY: Jason Aronson. .
• Ogden, Thomas H. (1989). The primitive edge of experience. Northvale, NJ: Jason Aronson. ..
• Klein, Mélanie (1952). "Some theoretical conclusions regarding the emotional life of the infant". Envy and gratitude and other works 1946–1963. Hogarth Press and the Institute of Psycho-Analysis (published 1975). .
• Segal, H. (1981). The work of Hanna Segal: A Kleinian approach to clinical practice. New York, NY: Jason Aronson. .
• John Steiner, in Robin Anderson ed., Clinical Lectures on Klein and Bion (London 1992) p. 46-58

External links

• Klein Trust (with extensive resources)
• Personal Hypertension Care Companion App
• Kleinian Studies Ejournal (with numerous detailed links)

Notes and References

1. Neville Symington, Narcissism (1993) p. xi
2. Danielle Quinodoz, Emotional Vertigo (2002) p. 148
3. Web site: Therapy for Depression: Approaches and Outcomes . 2024-06-04.
4. Hanna Segal, Klein (1979) p. 135
5. Web site: 2022-05-10 . Addiction and Depression: What's the Connection . 2023-04-16 . en-US.
6. Danielle Quinodoz, Emotional Vertigo (2002) p. 149
7. A. Bateman/J. Holmes, Introduction to Psychoanalysis (1999) p. 179
8. Hanna Segal, Introduction to the Work of Melanie Klein (1964) p. 64
9. Hanna Segal, Klein (1979) p. 81
10. Jaques . Elliott . On the Dynamics of Social Structure: A Contribution to the Psycho-Analytical Study of Social Phenomena . Human Relations . 6 . 1 . 3–24 . 1953 . 10.1177/001872675300600101.
11. Didier Anziou, Freud's Self-Analysis (1986) p. 182 and p. 581