This article will discuss Vincenzo Bonaminio’s clinical presentaion in three stages: diagnosis and clinical history, multi-focus and interpretation of the trouble of primary identification – in order to introduce a discussion of the differential diagnosis of psychosis and borderline state. From there, we will offer some hypotheses about the use of interpretation.
In a sixteen year-old adolescent boy, the after-effect in adolescence enables us to analyze a dysharmony in evolution that is masked by neurotic defenses. Treatment allows for satisfying symbolization, until a subjectal disorder and delusive episode occur, leading us to hypothesize the existence of a childhood proximity pathology – both incestuous and symbiotic, involving the maternal object – which has hitherto been only indirectly discernible in a feeling of emptiness and evasiveness in love relationships.
The concept of borderline state follows upon concepts of developmental heterochronicity (A. Freud) and developmental dysharmony (R. Mises). It can be found today under the heading of MDD (Multiple Developmental Disorder) in the child and adolescent, and the presence of MSDD (Multi-System Developmental Disorder) may be an early sign of it in the very young child. What is the continuity between these distortions of the baby’s interactions and adolescent borderline pathologies?
Adolescence, 2015, 33, 4, 771-778.
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