Adolescent character formation and psychoanalytic theory.

The foremost implication of the Freudian theories of adolescence has been that the analyst enters into an alliance with the patient's developmental process. During sessions, stock is routinely taken of the adolescent patient's defenses and drive fixations. The interpersonal and object relations theories of adolescents' character formation varied with each other and also with the assumptions of classical Freudian metapsychology. Yet, Sullivan, Fairbairn, and Winnicott all stressed relatedness in character formation. They each urged that the attitudes of the actual person in significant relationships, as well as the internal representations of the self and the object, shaped the character tendencies of the child or adolescent. Sullivan was very outspoken about his belief that there could be no uniformly valid theory of character, because people are unique. However, for Sullivan, the needs for the validation of self-worth, and for freedom from anxiety, were universal stimuli for the increasing organization of character trends. In both interpersonal theory and object relations theories, dissociative processes were of paramount importance as defensive operations. Dissociation by the adolescent resulted in further instances of ego splitting (for Fairbairn), of the bad me (for Sullivan), and of the false self (for Winnicott). Fairbairn, and to some extent Winnicott, used the language of classical Freudian theory in order to shape an object relations theory of adolescent development. In spite of their theoretical differences, Sullivan, Fairbairn, and Winnicott spoke with a singular voice in dismissing the exclusive significance of libidinal fixations in character consolidation. I now wish to review Freud's case of Dora as an addendum to this short critical appraisal. The analysis of Dora readily lends itself to a discussion of the confluence of the psychoanalytical models' clinical theories. Dora's unfortunate experience in treatment offered a compelling example of the precariousness of adolescents' adjustment in the midst of developmental and family turmoil.