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Where the wild things are: the power and challenge of adolescent group work.

Because groups are an intrinsic part of the adolescent's life, group therapy can be a powerful and effective treatment modality for them. However, it poses many challenges to group leaders and members alike. This paper, drawing on Maurice Sendak's well-known and beloved picture book Where the Wild Things Are, describes some of the issues involved in setting up groups for adolescents as well as how various developmental tasks of this age group appear in the group process. Clinical examples are utilized to illustrate the challenges and therapeutic efficacy of such groups.

Adolescent↗

The longest pleasure: a psychoanalytic study of hatred.

The ability to hate is a skill indicative of ego development to the level of object constancy. People can be divided into three categories: those who cannot hate, those who hate but can not stop hating, and those who can both hate and get over hating. Among those who cannot stop hating are two sub-groups: those who live with their hatred by relying upon scapegoats, and those who repress their knowledge of their hatred. The latter subgroup includes a number of psychoanalytic patients whose repressed hatred presents a specific obstacle to transference due to the persistence of a blocking introject. Recovery from the complications of repressed hatred requires the analyst to participate in the comforting process that strengthens the patient through the retrieval of aggression lost to repression.

Aggression↗

Late adolescents' identity formation: individuation from the family of origin.

This study explored the relationships between late adolescents' self-reported ego identity and individuation from their family of origin. Individuation was defined as adolescents' subjective perceptions of how psychologically enmeshed they were in the transactional processes of fusion and triangulation within their family of origin. The results indicated a significant relationship between adolescents' perceived involvement in their family's patterns of fusion and triangulation and the total score, and three of the five subscale scores, from the identity measure. The implications of the findings and directions for future research are discussed.

Adolescent↗

Psychotherapy of the family as a measure for preventing relapses and improving the prognosis in schizophrenic patients.

The increasing interest in the relationship among psychoanalysis, linguistics and higher nervous activity (neurodynamic) is recalled. As most of the works on the therapy of the family have been based upon psychodynamic interpretations, the authors shall try to speculate on how much room this field should be given in the phenomena related to higher nervous activity. The study of Pavlov, Gantt and others on biological and social factors influencing human behaviour have been discussed in relation to the system represented by the family nucleus. Some aspects have been taken in consideration like the double bind, the perverse triangle and the formation of a scapegoat. Double bind theory and praxis is representing a paradoxical situation similar to unavoidable conditioned patterns. The behaviour of the "designed patient" may be interpreted as a tentative escape to express his disagreement to the fixed situation. What happens is a kind of abnormal conditioning which is realized through a progressive stratification of discordant learning. The final result is the disorganisation of cognitive processes. In the meantime, we observe a discordance of the activity of the first and the second signaling system because, very often, an apparent external calm is accompanied by intense cardiovascular or visceral turmoil. Every kind of communication should take care of both processes, the congnitive and the neurodynamic. The analysis of the verbal, as well as the non-verbal communication in the family setting, may be fruitfully based upon the study of the progressive significance of the cognitive-emotional dissyntony, as well as the dissyntony between the 1st and the 2nd S.S., and the transactional dissyntony implicit in the double bind. A group of 25 families of schizophrenics followed by one up to five years has been examined following the concepts above mentioned.

Double Bind Interaction↗

[Threatened occupational situation of parents as a pathogenetic factor in childhood behavior disorders].

Real or imminent loss of employment of family supporters (mostly fathers)--unfortunately nowadays a rather frequent event--has gained more and more importance with respect to genesis of child's behavioral disturbances. Different interaction patterns are listed here: family systems primarily regarded as free of conflicts can be desequilibrated by financial distress; especially by loss of self-value-feelings; by appearance of different child rearing methods. Sometimes the tolerance for already striking children decreases, resulting in decompensation.

Adolescent↗

The team scapegoat.

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Conflict, Psychological↗

Some clinical consequences of introjection: gaslighting.

In the regression from the oedipal impulses some, perhaps many, people retreat to the introjective (oral) mode of defense. This and other defensive maneuvers culminate in a variety of behaviors which have been extensively and variously described in the literature. The authors describe, under the rubric of "gaslighting," an outcome of the introjective defense in which a victim and a victimizer join psychological modes in expressing and defending themselves against oral, incorporative impulses (greed), each in his or her own way.

Defense Mechanisms↗