The symbolic and concrete: Psychotic adolescents in psychoanalytic psychotherapy
| Autor: | Julia Pestalozzi |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male Symbolism Psychosis Psychoanalysis Psychotherapist Adolescent Schizophrenia (object-oriented programming) media_common.quotation_subject Case vignette 050108 psychoanalysis behavioral disciplines and activities 03 medical and health sciences Child Development 0302 clinical medicine Adolescent Psychiatry mental disorders medicine Humans 0501 psychology and cognitive sciences Psychoanalytic theory Child media_common 05 social sciences Thought disorder medicine.disease Play and Playthings Psychoanalytic Therapy 030227 psychiatry Psychiatry and Mental health Clinical Psychology Symbol Psychotic Disorders Adolescent Behavior Wounds and Injuries The Symbolic Theoretical psychology medicine.symptom Psychology |
| Zdroj: | The International Journal of Psychoanalysis. 84:733-753 |
| ISSN: | 1745-8315 0020-7578 |
| DOI: | 10.1516/g6ac-wehn-ebwm-5vd9 |
| Popis: | Unique disturbances in symbolisation are characteristic of the pathology of schizophrenia. Drawing on the case vignette of a psychotic adolescent, the author discusses theoretical problems in the symbolisation process in general and then in psychosis, in particular the relation between 'concretism' as a thought disorder and other psychotic defences. The ability to symbolise on the one hand and to maintain sufficiently stable ego boundaries on the other hand are examined in their relation. The author's clinical experience supports her hypothesis that there is a close relationship between the impairment of the symbolisation process in the adolescent or adult psychotic patient and his/her inability to engage in symbolic play as a child. Special attention is paid to the role of early trauma and consequent pathology of object relations for disturbances of symbolic play in childhood. Regression to concrete thinking is understood as the chance of the psychotic patient to give some meaning to reality in an unreal, delusional world and as his/her last chance to communicate at all. Conclusions are drawn for psychoanalytic techniques in the treatment of patients who are deeply regressed in this respect. Special attention is given to the particular circumstances and challenges of adolescence and to providing psychoanalytic psychotherapy to adolescent psychotic patients. |
| Databáze: | OpenAIRE |
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