Oedipal distortions in severe character pathologies. Developmental and theoretical considerations.

The oedipus complex is presented as a universal, developmentally determined mental organization that incorporates pregenital factors in a new hierarchic structure. Psychoanalysis with adults who have a variety of disorders, including severe character pathology, demonstrates the role of the oedipus complex and its variants as a dominant theme in these disorders. Recent trends in psychoanalytic theory are reviewed to facilitate our understanding of the newer metapsychological formulations that tend to de-emphasize oedipal constellations. Specific issues of changing emphasis in drive theory, ego organization, developmental levels of anxiety, and the separation-individuation process are considered.