Automata states and their relation to primitive mechanisms of defence

Abstract

This paper explores a particular kind of defensive structure – automata states – and examines elements of this mechanism as it may emerge in the therapeutic relationship. The ideas presented may be of particular interest to therapists treating so-called borderline patients, including patients who at times deploy high levels of aggression and violence, towards the self and others. Consideration is given to the re-firing of communicative projective processes, which may have been employed during infancy and childhood, and that may have been dormant for a lengthy period. Such projective dynamics are linked to grossly disorganized attachment patterns during infancy where, it would appear, there has been a critical lack of reflective function and mentalization on behalf of the primary caregivers. The author argues that, with certain individuals, it may be possible to approach new ways of exploring and expressing such underlying psychodynamics in the therapeutic relationship. Clinical case material is included, in order to contextualize and further develop the ideas presented.

Keywords:

• automata
• projection
• identification
• self-harm
• narcissism
• addictive

Notes

1. Patient names have been changed and certain non-essential biographical details have been altered in order to protect anonymity.