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Responding to Davies's extension of the classical psychoanalytic description of the Oedipus complex, the authors argue that, in theoretical thinking about the Oedipus complex, attachment and sexual relating must be carefully distinguished, although they ceaselessly interact and – in the end – their separate contributions may be hard to disentangle. Making this distinction enables these authors to suggest that it is less likely to be a refusal of romantic response that triggers the patient's relentless pursuit of love from the analyst than an earlier disorganization of the infantile attachment. Taking the transference situation as a whole, the patient's persistent demand for an unattainable gratification can then be seen as the patient's determination to create in the consulting room another person who is in beleaguered, defensive withdrawal from a relationship. The discussion further elaborates the similarities and differences between the authors' own theoretical position and Davies's relational perspective through a consideration of the case of Roberta presented by Davies in her paper.
The authors conceptualize Davies's account of the difficult session with her patient Karen as a mentalization mismatch: an expectable failure on the analyst's part to understand the mental state of the patient. In response, the patient used projective identification to re-create the link to the analyst that was temporarily severed. They argue that the therapeutic impasse produced by Karen's successful externalization of a persecuting part of her self is more than repetition of a past relationship. It is the current experience of a disorganized self: a pervasive state for the borderline patient, and a temporary but no less disorganized state in the analyst.