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| Research article summary (published 30 Mar 2009): |
Truth as a way of developing and preserving the space for thinking in the minds of the patient and the analyst.
Full Abstract
Clinical material from the analysis of a young patient diagnosed with borderline personality disorder and heavily dependent on drugs was examined to identify changes in setting that may be necessary to enable the psychoanalytical treatment of this type of patient. The article describes a lack of truth in the patient's life and the absence of a good enough space for thinking in her mind. In order to enhance the development of the capacity for symbolization in the patient's mind, the analyst had to become an object the patient needed. In order to do this the analyst had to manage setting alteration. Theoretical frameworks proposed by Ferenczi, Winnicott and Bion were used to guide the psychoanalyst's approach to this patient. The survival of the capacity for thinking psychoanalytically inside the analyst's mind when the setting has been significantly distorted by the disruptive behavior of the patient is guaranteed by the trueness of their link. It is suggested that maybe this is decisive for a successful psychoanalytical treatment of this type of patient.
Author information
Author/s: Luz, Anette Blaya (AB);
Affiliation: Pedro Ivo, 310 ap.301, Porto Alegre Rio Grande do Sul 90450-210, Brazil. anettebl(-atsign-)terra.com.br
Journal and publication information
Publication Type: Case Reports; Journal Article
Journal: The International journal of psycho-analysis (Int J Psychoanal), published in England. (Language: eng)
Reference: 2009-Apr; vol 90 (issue 2) : pp 291-310
Dates: Created 2009/04/22; Completed 2009/06/12;
PMID: 19382961, status: MEDLINE (last retrieval date: 6/12/2009, IMS Date: 12 Jun 2009 00:00:00)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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