A fundamental dissociative split in two necessary but incompatible self–other organizations is posed. Whereas Melanie Klein helped us to understand why we come to hate that which is good in others, this author explores the complementary question of how loving that which is bad in others keeps the self innocent, good, and sane. ![]() What allows us to explain the repetitive cycles of self-destructive, self-defeating behavior that we all struggle to help patients overcome? What explains the malignancy that can infuse certain transference-countertransference relationships, often suddenly and without warning? Why do some patients come to hate us despite our best efforts? Why do we come to hate some of them? Perhaps more to the point of this paper, why do we come to hate that version of ourselves that emerges when we are with them? This paper explores these questions, examining the issues of repetition and repair with regard to our most toxic introjects-the patients' and our own.
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