In the adolescent, an absence or porosity of links with infantile objects causes a crack in the potential for identification and plunges him/her into an unbearable and unsettling feeling that the Ego is uncanny. The psychotherapeutic setting enables the patient to express his hatred towards the mother or the father, within a transference onto the psychoanalyst that makes it possible to encounter another, identified as “stranger,” who is sufficiently different (sexually) and differentiated (narcissistically).
The author explores the links between crisis of transmission, crisis of transgenerational identifications, and crisis of identity, and the effects these have on adolescents’ identity construction. In our clinical practice, are we not confronted with the conflicts of these three domains and are we not, in the transference (and counter transference) potential supports for the three modes of object relations with the adolescents and families we encounter?
This article presents the beginnings of the treatment of an adolescent who has experienced early trauma. The disconuity reestablished from the very start of treatment by repeated absences will bring the analyst face to face with the primary object relations. Constant disruption of, or even attacks on, the setting will have to be constructed around the patient’s psychic possibilities.
The beginnings of adolescent and young adult treatments are tested by transference feelings that are highly mobilized from the outset. Drive excitation and ambivalence characterize the analytical situation and the resistances reinforced by the fear of betraying primal love objects. The treatment of a twenty-three years old obsessive man, examined in the light of the Rat Man case, supports this hypothesis.
Based on analysis with adolescent girls and young women, the author revisits and updates the essence of the analytic relationship between the psychoanalyst and the “young girl”. Alerted by a prolonged period of bisexuality and the force of collapsus between shame and guilt, C. Chabert describes the effects of transference on the analyst’s body, and the variability of traces of this transference. This variability allows the analyst to be able to « with[stand] the journey through depression and the confrontation with displeasure, without which, there cannot truly be analysis! ».
There are two reasons to reflect upon the possibility of doing therapy over the Internet. The first is the dearth of therapists in some regions. The second invites us to think about the setting Freud imagined as a particular instance of a general theory and to explore other variants that could be adjusted to fit new psychopathologies. In any case, online therapy requires a protocol involving spatial and temporal references, as well as financial agreement and confidentiality.
This article will attempt to investigate the importance of the self-informing function of sensoriality in adolescence in its connections with dream work, of which figurability is an essential component. These reflections are supported by the narrative of the process of the treatment of an adolescent engaged in compulsive body-attacking conduct.
Developing at long lenght the case of a young bulimic patient around mutative periods of the transference relationship and of the fruitful drawbacks of a lateral transference within the cure, I try to stress the particular and specific characteristics of her objet relation. I suggest that one should interpret the addiction to food as being the problematics of flaws in archaïc identitification processes linked to the fact that the primary cathexis were “ to identify badly ” or were “ badly identified ”. The object could thus not be intrejected but only incorporated. Hence an endless quest (addiction) not so much of the object itself but, rather, an attempt to identify “ that very ” object in order to identify oneself to it and thus be able to avoid being alienated by it.
In this article new forms of contradiction-conflict resulting from changes in the perception of limits that psychoanalysts encounter in their practice today are conceived from the perspective of the notions of work of the negative and of subjectivation
When adolescent creativeness is unable to reconstruct the I-Ego taking into account the newness of puberty, the psychoanalyst must invent a specific practice : construction work with which the adolescent can identify. When adolescent creativeness is unshared and unable to be shared, the treatment should offer common ground where a two-person perlaboration can develop, in which the conditions (usually infantile) of the impasse (breakdown) will be imagined together. We will discuss : modes of intervention, particularly their flexibility and their limits ; the difference it makes whether the adolescent brings material to the session or not ; the process in play in the analyst’s constructions (in this case sublimation, which is opposed to the control exercised by the ideal) ; the implicit risk of deconstruction in any imaginary suggestion made by the analyst.
Revue semestrielle de psychanalyse, psychopathologie et sciences humaines, indexée AERES au listing PsycINFO publiée avec le concours du Centre National du Livre et de l’Université de Paris Diderot Paris 7