Towards and beyond the Pillars of Hercules: Integration and transformation of destructiveness in child psychosis (the case of Amine)
| Autor: | Luca Quagelli |
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| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | The International Journal of Psychoanalysis. 100:481-504 |
| ISSN: | 1745-8315 0020-7578 |
| DOI: | 10.1080/00207578.2019.1589379 |
| Popis: | Drawing on detailed clinical material taken from the first two years of the psychotherapy of Amine, a six-year-old psychotic child, the author shows how the destructiveness of the most extreme clinical realities can be transformed and integrated in the course of the treatment. During the first period of the treatment, the patient's continuity of being was missing and he could not control his body and actions. In this situation, destructiveness was Amine's only way to express and communicate the devastation of his inner world. Amine's mind sought a container that might be able to receive, tolerate and symbolise his destructiveness. Thanks to the stability and reliability of the setting, together with a careful work of binding, a first border between inside and outside and between self and other could be developed. This led to the emergence of intrusion and persecutory anxieties and Amine's original destructiveness was transformed into hate and rage. Separation was furthermore experienced as intolerable and ultimate abandonment. Only through a thorough process of working-through pertaining to the analyst's countertransference could this impasse be overcome. Eventually, Amine could symbolise, through a dream, the possible acknowledgement, acceptance and integration of the borders that substantiate the existence of otherness. |
| Databáze: | OpenAIRE |
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