the Overall level of love depends on the personality structure. There are the typical difficulties in sexual life, depending on the different pathologies of the individual.
what we started talking about how Mature ability to love and form relationships, refers to people with normal, Mature personality structure. It's the satisfaction in sexual life, enjoy time together, planning of life, acceptance of realistic limitations to each other, the ability to depend on each other, tolerance of differences and disputes, equal rights, fairness in the distribution of responsibility and work together. This is a desirable situation that we want to achieve, including the goal in couples therapy.
the First level personality pathology - neurotic personality organization. It is characterized by a rigidity in some areas of the personality, but identity, Self and other images integrated. May have a conflict of sexual repression. Neurotics can display dissociation between the ability to love and sexual satisfaction, which refers to Oedipal issues. They can also demonstrate masochistic pathology. For example, a good marriage, in which poor financial management, which jeopardizes the functioning of the family. This may include unconscious Oedipal guilt about what their family is functioning better than the families of their parents. Therefore, neurotic personality structure can pokazivati serious problems in family and sexual life, and in other areas can be quite successful.
Second level borderline personality organization. Typical is the lack of integration of identity, chaotic relationships in pairs, the lack of understanding and a realistic understanding yourself and your partner. Relationship to partner, moving from the strongest love the strongest hatred and back. Often the difficulty connected with a pair of initially poor choice of partner. A lot of potential for promiscuity and chaos in the relationship. There is a tendency for immaturity of judgment and the functions of super-ego are contradictory. Can be very tough rigid judgments about each other, leading to the loss of a realistic assessment of each other. Could be a combination with desire all the time to prove its credibility and irresponsibility to the borders of the pair.
the Third level narcissistic personality organization. The most important difficulty is the difficulty of engaging in human relationships and the difficulty in the possibility of love. Externally, these pairs can be adequate, but there is constant unconscious envy of the sexual partner and the opposite triangulation, but not from Oedipal problems, and as the acting out of unconscious hatred for the member of the couple. Here, the lack of love and inability to be dependent on another partner, and the tendency to use the other as a servant for udovletvorenie needs. Couples therapy can be useful in the case of neurotic and borderline organizations, but with narcissistic personalities need individual work.
Extremely severe pathology - complete suppression of sexuality, until anesthesia of the skin, and after prolonged treatment, their sexuality can manifest in the form of extremely masochistic or sadistic fantasies. Also the other extreme pathology - a disorder in which sex is possible only with very aggressive behavior. For example, in malignant narcissism, when aggression is accepted and is a very sadistical, antisocial.
the Prognosis for treatment of paraphilia is associated with the level of personal organization. The neurotic perversion is organized as a script. For example, the organized scene that needs to be wagered to get orgasm. It can involve another person. Treatment prognosis is almost perfect. Have borderline personality disorder also have a script, but it is not limited only to sexual stage, and penetrate into povsednevnuyu life and include the relationship itself. The treatment has a good prognosis, but takes more time. In narcissistic pathology scenarios paraphyly very stable and rigid, because change is very difficult. The total suppression of sexuality treatment is extremely difficult... In the case of anti-social organization, identity the attempt of therapy is doomed to failure.
!
