In today’s societal context, current treatment and its violence raises questions about the role of the interpretative procedure in analysis. The dream of a pure and timeless act associated with the esthetic abstraction of psychoanalysis is confronted with the need for a way of representing that can “makes do with” the tangle of the symptom. One must follow its strands one by one, in order to detect their imaginary, real and symbolic traces and find out what is holding them together.
An adolescent girl’s psychotherapy through psychoanalytic psychodrama raises questions about the status of fictional characters from performed representation. The article emphasizes the importance of reestablishing with objects the tolerable bond damaged by narcissistic withdrawal, and points out how particular objects can serve as vehicles for “psychic bisexuality” and the “primal scene”. Since these enable one to change places, they providing support for the adolescent project of separation and individuation.
Using a clinical account of the treatment through psychodrama of an adolescent girl hospitalized for anorexia, the author will discuss different aspects of the way violence is summoned up against the one bearing the anorexic symptom. There is the violence of plunging into a treatment framework that compels the patient into renewed interaction with the object, and the healthy violence of the child within the adolescent who supports the turning around of hatred from auto-aggression to other-directed aggression.
The discovery of individual analytical psychodrama has offered clinicians new possibilities for the psychological treatments of adolescents. Using an excerpt from the treatment of a boy at the onset of puberty, this article will discuss the link between psychodrama and two-person improvisation. This reflection will focus on the possibility of borrowing the interpretive strategy of psychodrama to help a dual relation whose dynamic is stalled.
Starting with an analysis of a psychodrama session involving adolescents who attack and avoid intersubjective links, we were able to determine that the problematic of intrusion is transferred topically and temporally on and into the treatment setting in the manner of phobio-social transference.
Este artículo nos dá a ver un resumen del libro de Jean-José Baranes [(2003) “ las marcas del diván. Ensayos sobre las simbolizaciones plurales. Paris : Dunod] cuyo tema central es una reflexión clínica y teórica sobre el trabajo de las simbolizaciones primarias y segundarias en obra, en las indicaciones actuales de psicoanálisis.
The specificity of psychodrama as compared to other kinds of treatment is here questioned and mainly with regards to difficult adolescents. The author shows how the method being original in terms of setting, intervention technique and interpretation and their effects on transference has a major impact and therapeutic efficiency on those adolescents who wouldnÕt use the traditional approach. On top of that, psychodrama appears to be a very useful clinical and metapsychological tool.
Atopical eczema may lead to severe and debilitating diseases. Psychoanalytic psychodrama may help in healing these severe diseases, but mutative psychoanalytic interpretation may be impossible. Narcissistic elements contained in the group may revive the patients’ capacity for feelings and restart a psychical life capable of expressing the representation of his depression.
This article gives a glimpse of Jean-José Baranès’ book Les balafrés du divan. Essai sur les symbolisations plurielles (“ Scarred by the couch. An essay on plural symbolizations ” Paris : Dunod, 2003), whose main theme is a clinical and theoretical reflection on the work of primary and secondary symbolization carried out in current indications of psychoanalysis.
Starting with a critique of the term « addictive conducts », the author proposes a metapsychological reflection centered upon the repetition compulsion and its effects in adolescence, more precisely in anorexic pathologies. The clinical study of the therapeutic process deployed in psychodrama in the treatment of an adolescent girl with severe anorexia is built around theoretical constructions concerning the dialectic of internal and external perceptions. The essential question is that of the over-investment of external perceptions – of which narcissism is constituted – to the detriment of internal perceptions, which are considered to be intricately tied to the affects that constitute the « raw material » of the transference.
The second part of the article is devoted to analytical psychodrama, its value and its functions in such situations: the fragmentation of the transference, the play of doubles, and the putting into words of affects all offer ways to deal with drive violence, insofar as the method ensures the connection between images and words, when the affects are barred off, imprisoned or even stifled. Thus psychodrama traces the path of the effective experience of breakdown in its twofold aspect, as witness to both early infantile distress and to the loneliness of the Œdipal stage.
Adolescence, 2008, T. 26, n°4, pp. 941-957.
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