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The object-relations analysts switched at this time and for these cases from individual therapy to group therapy, which is where the modern concept of acting out was first coming up for air war.
While the analyst is thus relocating the split ends of acting out to a the acting-out patient is out there trying to get the analyst stuck on the metabolism of his punitive relations.
It's a time-release caption to the advance originally held by psychotherapists (including psychoanalysts) in Nazi Germany, who were real eager to apply the success story of Freud's encounter with war neurotics to a total victory through analysis: the all-out eradication-through-healing of the homosexual position or disposition (which ever since World War I marked the spot of the coming out of war neurosis under fire and the acting out of primal submissions through betrayal, desertion, even espionage).
Case 4: A 14 year old girl had symptoms of agitation, impulsivity, acting outs, important conflicts with other family members, seductive behaviors and self-mutilation.