Continuities, discontinuities and transformations in the psychotherapy of a psychotic adolescent during the time of coronavirus

心理学 意义(存在) 不可能 惊喜 心理治疗师 感知 精神分析 社会心理学 法学 政治学 神经科学
作者
Luca Quagelli
出处
期刊:The International Journal of Psychoanalysis [Informa]
卷期号:104 (2): 263-280
标识
DOI:10.1080/00207578.2022.2153687
摘要

The author describes the evolution of the psychotherapy of a psychotic adolescent in the period when the pandemic induced their national authorities to impose lockdown. The difficulty of coming to terms with an ever-present reality that proved to be distressing for both the patient and the analyst, as well as with the violence and rapidity with which the external situation developed, leading to a change in the therapy setting, are at the heart of the reflections in this paper. The “choice” of whether to continue the sessions over the phone determined the emergence of some distinctive issues related to discontinuity and to the impossibility of relying on visual perception. However, to the analyst’s surprise, it also favoured the possibility of working through the meaning of some autistic mental areas which, up to that moment, had never really been accessible to verbalization. Questioning the meaning of these changes, the author develops a broader reflection about the way that, for analysts and patients, modifications in the frames of our daily lives and clinical practice have enabled the deployment of undifferentiated parts of the personality which had previously been secretly deposited in the “body” of the setting and therefore were inaccessible.
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