Generally speaking, the onset of the pubertary dynamic signals the end of the latency phase. But what happens in the case of cancer if treatments have a desexualizing effect on the patient? By means of clinical experiences and interviews in a hospital ward for adolescents and young adults, the authors of this article explore the effects of serious illness on ways of emerging from the latency phase and the start of genital reorganization.
Referring to clinical data and projective testing results gleaned from medical and psychological studies open to patients suffering from utero-vaginal agenesis, our article focuses on the anorexic or bulimic reactions adolescents frequently present the diagnosis has been pronounce. Our reflections on access to feminine sexual life will be supported by a clinical case highlighting the psychical treatment involved in the construction of the psychical-corporal inner life.
The long-term effects of serious traumatic brain injury in the child or adolescent are often underestimated. The seriousness of a brain injury’s lasting effects, especially cognitive and behavioral ones, will be increased in inverse proportion to the age at the trauma occurred. Using an account of the psychotherapy of an adolescent who has suffered a traumatic brain injury, the author suggests a specific psychotherapy setting for brain-injured adolescents.
Through the study of the cases of two deaf patients, this article will offer some thoughts on the subjectivation of the handicap in adolescence. This process seems to be closely tied to the ability of the patient’s environment to welcome his or her desire for autonomy and otherness, and to enable encounters with new love objects and with peers. This necessary pre-condition helps the patient to move from a body that may need rehabilitation to a desiring body and to integrate the handicap as part of his or her being and history.
Interventions involving the skin are attempts to redraw the boundaries between inside and outside; they act as a tool for getting through the delicate passage to manhood or womanhood. Hairstyle, skin (make-up, tattoos, piercings, cosmetic surgery) and clothes – every youngster is over-informed about possible looks and how other people will receive them. Such attempts to control one’s self-image or to alter it (through scarification, for example) express the adolescent’s wish to escape from an intolerable identity.
Using their complementary clinical experience in a medical ward for physical rehabilitation, the authors analyze the physical, psychological and familial impact in cases where adolescents have suffered a serious accident. All three of these dimensions must be given enough consideration in order to strengthen the institution support system that is so crucial in the treatment of adolescents afflicted with a secondary physical handicap.
Adolescence, 2016, 34, 3, 479-487.
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