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Yıl:2016; Cilt: ; Sayı: 25>> Özet
Yansıtma: Psikopatoloji ve Projektif Testler Dergisi; 2016;(25):195-202
Yeme Bozukluğu Gösteren Borderline Ergenlerde Ruhsal İşleyişin Özellikleri: Terapötik Perspektifler
A Cohen de Lara, C Hurvy, S Vibert, A Pham-Scottez, M Speranza, M Corcos (Çeviren: N Sipahi)
Ergen Borderline Kişilik Bozukluğu Avrupa Çalışma Ağı içerisinde, projektif test yöntemlerini kullanarak (Rorscahch ve T.A.T.), psikanalitik yorumlama perspektifi içerisinde, 11 tanesi yeme bozukluğu sıkıntısı çeken 22 borderline ergenin psişik işleyişini araştırdık. Yeme Bozukluğu gösteren Borderline grup ve Yeme Bozukluğu göstermeyen Borderline grup olan iki alt grup arasında az sayıda belirgin fark açığa çıkmıştır. Bu bulgu anoreksik ve bulimik hastalara olan ilgimize yol açmıştır. Bu hastaların psişik işleyişi savunmacı artikülasyonu; semptomların altında yatan problematik ve çatışmaları; ve spesifik aktarımsal hareketleri göstermiştir. Anoreksik ve bulimik hastalarda olan sıradan streotipik davranışın aksine, projektif uygulama iki temel islevis tarzını gösterir. Bunlardan biri sinırlı çağrışımsal çıktı ve savunmacı ketlenmedir; ve bir diğeri, projeksiyonun ve coşku üretimin yoğunluğudur. Çelişki olarak, bir tarafta, boşluk ve zayıf düşlemsel kapasite ve diğer yanda düşlemsel üretkenliğin aşırılığı mevcuttur. Bütün bu değerlendirmeler terapötik yöntemler üzerinde etkiye sahiptir. Projektif yöntemin katkısı ve tanı üzerindeki arıtımı anlamlı bir yardım oluşturur.
The Characteristics of Psychological Functioning of Adolescents Diagnosed with Eating Disorders; Theurapeutic Perspectives
Within the context of the European Network study of Borderline Personality Disorder Adolescents, using projective testing methods (Rorschach and T.A.T.) and in the perspective of psychoanalytical interpretation, we have studied the psychic functioning of 22 borderline adolescents, of which 11 suffer from eating disorders. Within these 2 subgroups Borderline Eating Disorders and Borderline Non Eating Disorders few apparent differences have arisen. This finding has initiated our interest in anorexic and bulimic patients. The psychic functioning of these patients showed defensive articulation; problematiques and conflicts underlying the symptoms; and specific transferential movements. In spite of the usual stereotypical behaviour in anorexis and boulimic patients, the projective testing illustrates two major types of functioning. One of which is retrained associative output and defensive inhibition; and the other, massiveness of the projection and production effervescence. Contrasting, on one side emptiness and weak fantasmatic capacity and the other an excess of fantasmatic productivity. These considerations have an impact on the therapeutic modalities. The contribution of the projective methodology and the refinement in the diagnosis constitutes a considerable aid.

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