Document Detail

Nameless desire: alexithymia and the anorexic patient.
MedLine Citation:
PMID:  14993842     Owner:  NLM     Status:  MEDLINE    
In this article, the author attempts to provide a psychoanalytic understanding of the anorexic patient who is disconnected from her affective experience and is considered to be alexithymic. Through her restrictive food ritual, this type of patient may organize her internal states by repeatedly creating an illusion of what it is that she needs and desires. The author asserts that the task of the therapist working with the anorexic patient with alexithymia is to be aware of his own sensation-based reverie as lived within the intersubjective arena. This will enable the therapist to assist the patient in building an affective vocabulary to accurately identify, differentiate, and label the internal signals of her body. It is suggested that the subjective emotional experience of the patient will continue to be reorganized, expanded, and enriched as the therapist and patient mutually influence one another in this unique relational matrix. A clinical vignette is provided to illustrate intersubjective treatment interventions with a difficult-to-reach anorexic patient.
Regina Petterson
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of psychoanalysis     Volume:  64     ISSN:  0002-9548     ISO Abbreviation:  Am J Psychoanal     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-02     Completed Date:  2004-07-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372630     Medline TA:  Am J Psychoanal     Country:  United States    
Other Details:
Languages:  eng     Pagination:  77-90     Citation Subset:  IM    
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MeSH Terms
Affective Symptoms / complications*,  psychology*,  therapy
Anorexia / complications*,  psychology*,  therapy
Psychoanalytic Interpretation*

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