Sanity and madness within the therapeutic setting: A case study

IF 0.9 Q2 PSYCHOLOGY, PSYCHOANALYSIS
Alexandra Medeiros
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Abstract

Abstract This article analyses a particular case of sanity and madness within the therapeutic setting as an expression of psychosis. It describes the story of a boy named Pedro who, between the ages of 12 and 16 years, struggled with mental balance – oscillating between lucidity, within a broken mind, and the madness required to stay healthy. The psychotherapeutic path was marked by a set of characters – real and fictional – that revealed his split functioning. In the plots Pedro created, he used the evil characters of any given movie saga in order to express himself. Like a dream, these narratives functioned as metaphors and metonyms, where the condensed forces of evil took over the symptom – which brings us to psychosis – while the good side, represented by an isolated and unprotected figure with which Pedro identified, revealed the displaced material of his unconscious desire. Although the psychotic parts of Pedro’s personality had been rehabilitated and integrated, his mental functioning remained marked by dissociation with reality, linked to the psychotic dysfunctionality. Therefore, even if his psychotic parts were contained and masked by clever humor, they were an indelible trace of his mental life.
治疗环境中的理智与疯狂:个案研究
摘要本文分析了一个特殊的情况下,理智和疯癫在治疗设置作为精神病的表达。它描述了一个名叫佩德罗的男孩的故事,他在12到16岁之间挣扎于精神平衡-在清醒之间摇摆,在破碎的头脑中,和保持健康所需的疯狂之间摇摆。他的心理治疗之路以一系列人物——真实的和虚构的——为标志,这些人物揭示了他的分裂功能。在佩德罗创作的情节中,他使用了任何给定的电影传奇中的邪恶角色来表达自己。就像一个梦一样,这些叙述起到了隐喻和转喻的作用,在这里,邪恶的浓缩力量接管了症状——把我们带到了精神错乱——而善良的一面,由一个孤立的、不受保护的人物代表,佩德罗认同,揭示了他无意识欲望的位移材料。尽管佩德罗人格中精神病的部分得到了恢复和整合,但他的精神功能仍然与现实脱节,这与精神功能障碍有关。因此,即使他的精神病部分被巧妙的幽默所控制和掩盖,它们也是他精神生活中不可磨灭的痕迹。
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来源期刊
International Forum of Psychoanalysis
International Forum of Psychoanalysis PSYCHOLOGY, PSYCHOANALYSIS-
CiteScore
0.80
自引率
28.60%
发文量
22
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