On psychic elements in a case of autistoid perversion

Dados Bibliográficos

ID8971092
AutoresBernd Nissen (0009-0000-1201-9866, Limastr. 9a14163 BerlinGermany, autor correspondente)
Ano2012
Volume94
Fascículo2
Páginas239-256
Data de publicação2012-12-18
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoThe International Journal of Psychoanalysis (JOURNAL)
Identificadores do periódicoISSN: 0020-7578 • E-ISSN: 1745-8315
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1111/1745-8315.12013
PMID23560901
OpenAlexW1515140753
IdiomaEN
Citações recebidas4
Referências citadas1

The paper explores the formation of psychic elements from an epistemological point of view, drawing on the work of Bion to examine a clinical case of autistoid perversion. Distinguishing the qualification of psychic elements from the realization of pre-conceptions, the paper argues that psychical elements are constituted through a mutually shared experience of presence, and so they should be understood in a paradoxical way--through being-O and transformations into K. These ideas are explored via a clinical case concerning a patient with an autistoid-perverse organization. The patient had been denied any bodily contact with her parents during her first year of life due to an infection; in later life she exhibited an autistoid coprophilic perversion. During the course of her treatment, as it became possible to break down the autistoid organization, the nameless contents surfaced in a mutually shared experience of presence. The analyst was able to hold on to their meaning, which was unavailable to the patient. The absent analyst, however, turned into the mother who 'put the child down' and was experienced by the patient as a suicidal threat. In being-O, the analyst was able to endure the paradox of being the one who 'put her down' in order not to put her down; the paradox of being-O functioned as a container for the destructive objectal dimension of the state of 'being put down

Container (type theory · Epistemology · Meaning (existential · Order (exchange · Perversion · Psychic · Psychoanalysis · Psychotherapist · Medicine · Mental Health and Psychiatry · Philosophy · Psychoanalysis and Psychopathology Research · Psychology · Psychotherapy Techniques and Applications · Social Psychology