Fairbairn's Theory of Change.

Fairbairn's unique structural theory with its three pairs of selves and objects has proven to be a highly usable and practical model of the human psyche, yet it has remained a minor player in the world of psychoanalysis. There are a number of factors that account for its lack of popularity, foremost among them the timing of the model's introduction to the analytic community. Fairbairn's four successive papers that described his metapsychology (1940, 1941, 1943, and 1944) were published just after Freud's death, when his theory was the dominant model of psychoanalysis. Additionally, Fairbairn's model was incomplete, used unfamiliar terminology, and, in its singularity, forced the analyst to abandon drive theory, the heart of Freud's metapsychology. This paper will examine and update Fairbairn's unique model of change-from the outset of pathology that begins with attachment to bad objects, to their metamorphosis into internal structures and finally to techniques of treatment that reduce their influence on the patients' internal world. The treatment section carefully follows Fairbairn's metapsychology, and focuses first on the analyst becoming a good object in the eyes of the patient, then unearthing bad object memories in a safe and compassionate interpersonal environment, engaging the patient's substructures in a manner that does not intensify preexisting internal templates, and finally aiding the patient in resuming his or her stalled emotional development. This exegesis of Fairbairn original model, along with recent modifications that have been made to it, demonstrates the consistency, clear focus, and utility of this little-known metapsychology.