So what are the underlying processes which have moved development along from the paranoid-schizoid to the depressive position? The change which occurs is that instead of seeing the world as populated by purely ‘good’ and purely ‘bad’ objects, e.g. a loved mother who is gratifying and a hated mother who is frustrating, the child links these different experiences into a ‘whole object’, i.e. one mother who is both satisfying and frustrating. This more realistic perception creates an anxiety situation which has not been felt previously, it is one of loss. The loss stems first from the fact that the child realises his own ambivalence and is shocked to find that the mother which he at times hates and attacks is the same one which he loves. The anxiety produced by the fear of hurting the mother he loves causes the child to feel true concern for her. Secondly, loss is also felt due to losing the concept of ideal objects. A child growing up must come to realise that there is no such thing as an ideal object which will provide unlimited satisfaction and this realisation can be especially painful. The conflict produced by being disappointed in the mother for being imperfect and the concern about hurting or losing her causes the mixture of feelings which Klein described as depressive anxiety. This depressive anxiety is similar to the grief suffered by bereavement and is in essence a state of mourning (Klein, 1940). Klein believed that the child begins to move from the paranoid-schizoid and into the depressive state at around 3 to 6 months of age.
Klein believed that this depressive state was normal and that the depression experienced was appropriate when reacting to the loss of a loved object. As mentioned previously, Klein stated that the position could be used as a psychoanalytic model to describe all the various periods of depression in adult life as well. Adult depression can range from everyday grief for the loss of an object – which could be a valued idea as well as a person – to clinical depression, this will be considered later. The child’s progression into this position marks a more mature level of functioning and Klein suggested that this depressive state is an inevitable part of the human condition (Klein, 1935; 1940). Adult depressive anxiety is believed to be a mature state as it is an achievement to be able to experience appropriate sadness at the loss of an object instead of the paranoia of the paranoid-schizoid position.
However, sometimes the sadness associated with the loss of a loved object is too difficult and painful to bear and reparation (repairing the imagined damage) cannot occur. In these cases one of two defences is called upon. The first of these is to retreat to the paranoid-schizoid position as it is seems that in the face of acute depressive anxiety paranoia may be preferable. In the paranoid-schizoid position the individual can harbour the notion that an ideal object exists and the ambivalence (feeling both hatred and love for the same object) which marks the depressive position can be split and the cherished object can be divided into two: a purely loved and a purely hated one. Klein likened her description of clinical depression to Freud’s ‘melancholia’ (Freud, 1917) which is in essence a paranoid state. On encountering depressive anxiety the melancholic will enter a state of loathing both himself and the lost object. The object has been split and only hatred is felt which does not allow for the concern and remorse felt for the still-loved object by the mourner who is working through their depressive anxiety. The paranoid state causes the loathing to turn into persecution and finally fear for the clinically depressed person and the cycle encountered in the paranoid-schizoid position can be seen to manifest again.
The second defence against the pain of depressive anxiety is the manic defence. In this state the person has attempted to negate the pain by convincing themselves that the lost object was actually of no significance to them and hence its loss has no effect. This is clearly a state of denial. Manic defence has three characteristics: the object is treated with contempt, the person feels they have triumphed over the object, and the person attempts to control the comings and goings of the object so that they are not made aware of their dependence on the object. However, when reality intrudes into the world of manic defence with the knowledge that the damage was not fixed and the object was in fact held dear, the individual crashes down into depression. The psychiatric state of manic-depression occurs when the person resorts to mania as a long-term strategy and becomes caught in the cycle between mania and depression as these two states are always in equilibrium.
In summary, Klein extended the work of Freud when she placed emphasis on the acute anxieties that children experienced and created her theories about the paranoid-schizoid and the depressive positions. The depressive position occurs later developmentally and also provides a psychoanalytic model for normal adult functioning. In the depressive state the individual has internalised a good object from which they can draw support and they have also realised their ambivalence towards objects. The primary anxiety is for the welfare of the internal good object when in the depressive position. However, the depressive position is repeatedly lost and in need of re-establishing (Temperley, 2001). When it is lost the person regresses to the more primitive paranoid-schizoid state and the fluctuations between these states can take place over months or years. There is no state beyond that of the depressive position and hence to be truly adult requires an ability to live in the depressive position and to be able to handle the grief and sadness which are inevitable when loved objects are lost.
References:
Bion, R.W. (1963). Elements of Psychoanalysis. London: Heinemann.
Freud, S. (1917). Mourning and Melancholia. Pelican Freud Library, Vol. 11.
Klein, M. (1935). A contribution to the psychogenesis of manic-depressive states. In Love, Guilt and Reparation (1975). New York: Delta.
Klein, M. (1940). Mourning and its relation to manic-depressive states. In Love, Guilt and Reparation (1975). New York: Delta.
Steiner, J. (1992). The equilibrium between the paranoid-schizoid and the depressive positions. In R. Anderson (Ed.), Clinical Lectures on Klein and Bion, London: Routledge.
Temperley, J. (2001). The depressive position. In C. Bronstein (Ed.), Kleinian Theory: A Contemporary Perspective, London: Whurr.