PubMed · 5810723
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G A Richardson, I Miller, J D McNeely, W M Pederson. 1969. Problems concerning acting out.. https://doi.org/10.1007/bf01564247
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Utilizing observations on adolescence--notably those of Winnicott, as well as the work of Lacan and a clinical case--the author advances several propositions concerning the unique relationship between adolescents and time. The consequences of this relationship are then framed as a paternal metaphor.
Clinical observation indicates that sexual acting out takes place during periods in which the integrity of the self is threatened by some disappointment, some frustration, or what is perceived as an unavoidable but unfair demand. Rather than confront the problem within the object relationship, the conflict is acted out. The sexual encounter reduces anxiety and facilitates the containment of depressive and aggressive feelings. Self-integration is attempted even at the risk of losing something, be it a wife, a husband, a girlfriend or the presidency. At the time it seems the only possible way to cope with painful or threatening stimuli.
In this paper, a hypothetical model of agitation therapy for some categories of antisocial and psychopathic patients/offenders is presented. Agitation therapy is mainly meant for very problematic and aggressive individuals who do not (or hardly) respond (in some periods) to any other type of psychotherapy, neurofeedback, and/or psychopharmacotherapy. The author makes an attempt to develop an adequate model of agitation therapy that makes optimal use of learning moments in controlled conflict situations. During agitation therapy the aggressive antisocial or psychopathic individual will be exposed to external agitation of other patients in a controlled manner in order to increase his/her self-knowledge; awareness of his or her intolerable behavior and limitations; sublimation of aggression/anger; the willingness (and insight in the necessity) to change; feelings of responsibility and emotional, social and moral development. Agitation therapy is not intended to be an isolated form of psychotherapy, but it may be rather often successful in combination with other types of psychotherapy, neurofeedback, and/or psychopharmacotherapy.