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Biomedical subjects

L Sohn

Publications and source records attributed to L Sohn.

6 recordsLinked to original sources

Unprovoked assaults--making sense of apparently random violence.

An unprovoked assault occurs when a total stranger assaults a totally innocent victim he has never met. Presenting findings from three such cases, representative of a series of ten seen as part of his work as a psychoanalyst at a special forensic hospital in the UK, the author attempts to tie together the victim and his attacker in the attacker's mind, setting out to explain how the victim fits the need of a psychotic man's fantasy, at a particular time. A provisional hypothesis about the internal situation of such patients and its diagnosis, treatment and management is put forward and discussed, in the context of the implications for the treatment of such offenders and the psychoanalytic theory of projection and symbolisation.

Adult

Narcissistic organization, projective identification, and the formation of the identificate.

Clinical examples are given, varying from what would appear to be self-sufficient normal people, to overtly psychotic cases, in order to illustrate the development of a narcissistic organization of varying intensity and permanence. That is to say, an identification via projective identification has taken place, which heightens intrinsic omnipotence, to allow what has been termed the identificate to believe that it has become the desired object--and thereby that within this spuriously organized ego-structure exist the characteristics and functions of the object or part object that has been taken over. Varying forms of such identificatory process are illustrated. The functions of these 'successful defence' manoeuvres are to obviate any feelings of an awareness of envy, although they may be overtly envious attacks within themselves, secondly they nullify any awareness of dependence, and also nullify awareness of need and illness, and thirdly they maintain the narcissistic organization by producing a successful identificate.

Adult

Nostalgia.

An attempt is made to differentiate between true and false nostalgia, with clinical illustrations from the analyses of a chronic psychotic patient, and a far less disturbed young woman, whose main symptom of vagueness clouded the analytic work, and her own perceptions and capacities. The significance of the differentiation for psychoanalytic work is stressed.

Adult