| Fear of breakdown: a clinical example. | |
MedLine Citation:
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PMID: 7440074 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This paper describes work with a patient whose unconscious fear of breakdown was increasingly undermining her capacity to function. The effective false-self defence which the patient had organized to deal with early trauma was breaking down into psychosomatic anxieties and disorders from which she had no will to recover. It was this feature that led her doctor to recommend psychoanalysis. As the transference became established the patient was able to reveal to the analyst in a concrete way the nature of the early trauma which had caused the original breakdown at a time when the patient's immature ego was not strong enough to encompass the experience. The traumatized child part of herself therefore became split off and defended against. The work of the analysis has been concerned with the gradual experiencing for the first time, with the support of the analyst, the pain and terror of the early breakdown. Over a period of years this has led to re-discovery and re-integration of the lost child into the patient's present ago organization. In the course of this work the patient remembered, and felt the need for, her transitional object. The original object was found and brought to the analysis, and eventually the patient established the link to the early good enough mother before the breakdown. There have been marked changes in the patient's health, and capacity for functioning. She is now able to contemplate the future, and the termination of her analysis in a realistic way. As already stated, work with this patient relied heavily on the theoretical formulations in Winnicott's paper noted below. |
Authors:
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C Winnicott |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The International journal of psycho-analysis Volume: 61 ISSN: 0020-7578 ISO Abbreviation: Int J Psychoanal Publication Date: 1980 |
Date Detail:
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Created Date: 1981-02-26 Completed Date: 1981-02-26 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 2985179R Medline TA: Int J Psychoanal Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 351-7 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anxiety Ego* Fear* Female Humans Middle Aged Psychoanalytic Therapy* Psychophysiologic Disorders / psychology, therapy* Transference (Psychology) |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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