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At least 541 records · Page 30Linked to original sources
PubMedDate not supplied

[Troubling femininity. On the topic of adolescence].

Adolescence is of cardinal importance for gender identity, a period of self-differentiation in which sexual identity is finally and fully established. The author proceeds from a somato-psychic relation model taking shape between mother and daughter at birth and based on unconscious projections on the part of the mother. The model centres around the contrast between the body as envelope and as (empty) cavity. In the course of adolescence, in which femininity, sexuality and motherhood are supposed to manifest themselves and unite in the female body, girls are faced with the difficult task of relinquishing the idea of their body as a cavity and identifying with the idea of physical containment. With reference to the case of a bulimic adolescent and more general remarks on anorexia, the author traces the difficulties encountered on the arduous path to the appropriation of femininity, which, if strayed from, can lead to the brink of death.

Adolescent↗
PubMedDate not supplied

[The glass woman].

The author recounts the case of history of a woman patient seeking psychoanalytic treatment for a variety of extremely severe symptoms. In the course of treatment the original symptom constellation changed, revealing new facets but never disappearing completely. Discussing the compulsive, phobic symptomatology of the patient in terms of the traumatic sexual conflicts underlying them and the attendant break with outward reality and psychotic fabrication of a world of the patient's own making, Zeul warns against premature nosological classification. She contends that, in a case like the present one, the diagnosis of the disturbance into a neat set of nosological compartments--borderline/hysteria/psychosis etc.--makes little sense and should be supplanted by an attempt to describe the psychic mechanisms of mental illness.

Adult↗
PubMed1994

On formulations to patients.

For the author, the psychoanalytic clinical fact can only be an arbitrary fragment detached from the totality of the situation, which alone specifies it and which comprises the different forms of formulations that are proposed to patients. Using the difference established by Freud between what is and what is not analysable as a starting point, he distinguishes between two radically different analytic situations. To illustrate, he extracts, from the same cure, a 'fact' constituted of two moments; one 'this side of analysability, the other at its limits. He calls 'homogeneous' the neurotic moment in which transference and countertransference are similar in nature, and he calls 'heterogeneous' the 'limit' situation in which predictabüity is absent, and in which change, when it occurs, is one of divine surprise. The author advances an hypothesis on the factors at work in the changes that subsequently occurred, particularly in the case of the 'limit' situation, drawing from the therapeutic experience of the 'psychoanalytic psychodrama' and from the work of Jean Laplanche. A single generating principle would thus be involved, based on the action of the unconscious seduction contained in the unknowable, 'enigmatic', part of verbal and nonverbal messages, it grounds its transforming action in the following sequence: unconscious seduction, limited traumatic penetration, symbolisation, i.e. the emergence of meaning in the aftermath.

Adult↗
PubMed1993

Early sexual abuse and nightmares in the analysis of adults.

An examination of the nightmares of four adults in analysis who had been sexually abused as children revealed a characteristic distortion of the body representation as it appeared in the manifest content of the dream. The authors believe that childhood sexual trauma has profound and pervasive effects on the development and consolidation of the body image. Experienced as a grave assault on body integrity and function, it mobilizes primitive anxieties and specific genital anxieties, resulting in distortion, fragmentation, or disintegration of the body representation. The frequently observed multiple somatization of victims of sexual abuse is attributable to such a damaged and persecutory body representation.

Adolescent↗
PubMed1993

Latency--a reappraisal.

This paper discusses the specific metapsychology and developmental tasks of the latency period. It offers a Kleinian view of the phase and compares it with other current psychoanalytic theories. The emphasis is on the importance of ego and superego growth and integration during latency resulting in better contact with both external and internal reality. Character formation, social integration and learning are discussed as the specific developmental tasks of the period. Freud's original formulation that the latency period is a consequence of the resolution of the Oedipus complex is evaluated in the light of contemporary developments. I draw on the ideas of Klein and others such as Loewald, Burgner, Holder, Tyson to describe it as a process of progressive and more complex elaboration throughout latency, interconnected with superego development. This process of gradual working through is considered to be a fundamental feature of the period. This model of progressive maturation is illustrated with clinical material. The clinical concept of pseudo-latency is used to distinguish between the developmental achievement represented by the establishment of the latency organisation in contrast to a defensive structure (pseudo-latency) which hides pathology.

Child↗
PubMed1976

Discussion of papers on Equus.

Three points are discussed concerning Equus and the preceding papers: (1) Because a play is not a free association obtained within the context of the analytic situation it is most difficult to "analyze." (2) The central theme of "passion" in Equus would seem to relate to the vicissitudes of infantile omnipotence, as noted in both the content of the play and the process of playwrighting. And (3) in Equus, the playwright not only creates a reality out of a fantasy, but "tricks" the audience into being a participant in the scopophilic activities depicted.

Adolescent↗
PubMed1991

Sexuality of women with anorexia nervosa.

The sexual development and life of 30 adult women with anorexia nervosa and of 50 control women was investigated using a structured interview and 3 sexological questionnaires. Heterosexual development was found to be normal in the initial stages, but psychosexual adaptation in adulthood was impaired. Primary or secondary insufficiencies of sexual life were found for 80% of the anorectic patients. Biological and psychosocial factors may participate in this unfavourable state. Discussion of sexual problems should be part of the process of treating women with anorexia nervosa.

Adolescent↗