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Object Relations Therapy: An Outline and Guide

We will look at all the bits of glass—elements of a developing psyche—but when put into the end of the tube, they mix together, swirl, and create a world of patterns, colors, and shapes we have never seen before. Here, we will look at each pile of colored glass. Theory binds our confusion. It gives us words, tells us where to look, and contains us. It focuses our lens so we can see what we might otherwise miss.

Object Relations

Formally named by Ronald Fairbairn in a departure from Freud’s drive theory, Object Relations focuses not on the biological drive’s source or aim but on its object—the human being. According to this theory, humans are primarily motivated by relationships, not just by the satisfaction of drives. Our patterns in relationships are shaped by three things:

1. Who we think the other is: We carry filters through which we perceive others—whether as safe, trustworthy, demanding, judgmental, nurturing, etc.

2. Who we believe ourselves to be: Are we lovable, unworthy, strong, anxious, awkward, or caretaking? Our self-image is shaped by early relational experiences.

3. The relational interface: This is how we prefer to be perceived and treated. We unconsciously pull for this dynamic in relationships, replicating what’s familiar.

“It’s like we master a set of dance steps. Some partners know the steps; others don’t. But we feel most at home dancing what we’ve always known.”

We are profoundly soothed by the familiar.

Internal vs. External Objects

External objects are the real people in our early life—parents, caregivers, siblings.

Internal objects are the internalized impressions or “psychic residues” of these relationships. We carry not only what was done to us, but how we felt in response—and, remarkably, even what we imagine our caregivers felt during those moments.

These internalized templates shape:

  • Our sense of self

  • Our emotional range

  • Our relational preferences

In times of distress, these internal objects re-emerge. If our caregiver calmed us, we may call on that calm. If they criticized us, we might replay their judgments inwardly.

Absorbing Both Sides

Children absorb:

  • What it felt like to be on the receiving end

  • The strategies they used to manage others

  • And the imagined emotional world of their caregivers

This early learning is pre-verbal and more enduring than later experiences. As children, we absorb experience; we don’t study it. Language comes later.

Origins of Self and Other

From birth, we inherit a pre-existing interpersonal environment. Through interactions—especially with our primary caregivers—we construct internal models of self and other. These are based not only on how we are treated, but on how we experience our caregivers responding to us.

“The precursor to the mirror is the mother’s face.” —Winnicott

Imagine a child born into withdrawal or neglect. Without language, the child forms powerful, emotional hypotheses: People can’t be trusted. My needs don’t matter. I must take care of others to be safe. These hypotheses shape attachment styles—avoidant, ambivalent, disorganized.

Research Highlights:

  • 80% of five-year-olds retain the same attachment style into adulthood (Waters et al., 2000)

  • Brain development is profoundly impacted by early attachment experiences (Schore, Siegel, Gerhardt)

  • Neurological pathways shaped by neglect and misattunement can influence how we relate for life

Why Early Experience Matters

We learn efficiently and deeply in early life. These patterns allow us to:

  • Anticipate what relationships will be like

  • Avoid painful surprises

  • Survive in imperfect family environments

But what we learn early, we learn so well that it’s hard to unlearn—even when it hurts us later.

Example: Adapting to Dysfunction

Imagine a child with an alcoholic, volatile father and a fragile, enabling mother. That child learns to:

  • Manage dad’s moods

  • Protect and soothe mom

  • Suppress their own fear and needs

By adulthood, they’ve earned a PhD in managing chaos. They unconsciously seek situations where these skills are relevant. This repetition can be redemptive—or tragic.

Object Relations Outcome

Children internalize all aspects of family life:

  • Mom’s fragility and gentleness

  • Dad’s volatility and humor

  • The sibling’s protection or jealousy

Time spent managing chaos means time not spent on play, exploration, or self-discovery. This loss is invisible but deeply felt. Therapy often helps people reclaim these lost capacities.

Defenses: Our Inner Protectors

To maintain a coherent sense of self, we deploy defenses—often unconsciously. These defenses guard against overwhelming anxiety, including:

  • Disconnection

  • Overstimulation

  • Neglect or abuse

Dissociation is one of our earliest defenses—retreating inward when the external world becomes unbearable. It’s biological, akin to playing dead or shutting down to preserve resources. But in humans, repeated dissociation can shape personality structure.

“States become traits.” —Perry et al. (1995)

From the outside, adult defenses can look unnecessary or frustrating—like splitting, humor, narcissism, or black-and-white thinking. But they’re always doing something important: managing pain we often can’t name.

These defenses helped us survive childhood. As adults, we may need to honor them—but also gently retire them in safe, therapeutic spaces.

Defenses range from primitive (splitting, dissociation) to mature (humor, intellectualization). More primitive defenses are associated with more complex trauma or personality pathology.

Example: Self-Sufficiency as Defense

If a child learned that needing others leads to disappointment or rejection, they might grow up needing to be fiercely independent. This shields them from the agony of unmet needs. But it can also block intimacy.

“We wrap ourselves in routine, substances, rituals—even our own body fat—to feel safe and cohesive.”

Closing Thought

At Keil Psych Group, Object Relations Therapy is a foundational approach. We help clients understand their internal world—those swirling colors at the end of their kaleidoscope—and work toward healing the burdens of the unprocessed past.

If this resonates, reach out. We’d be honored to walk that path with you.

Dr. Mitch Keil
Dr. Mitch Keil

Dr. Mitch Keil is a licensed clinical psychologist in Newport Beach, CA. His specialities in treatment cover a wide range of difficulties including depression, anxiety, addiction, PTSD, and grief/loss for teens, young adults, and adults. As a part of his dedication to the field, Dr. Keil receives regular supervision, support, continuing education, and training for his private practice. He is a lifelong learner and practitioner who is passionate about mental health, philosophy, and psychology.

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