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Yıl:2016; Cilt: ; Sayı: 26>> Özet
Yansıtma: Psikopatoloji ve Projektif Testler Dergisi; 2016;(26):11-18
Obezitenin Ruhsal Süreçlerinin Rorschach Testi ile Açklanması
AT Fidan
Obezite tibbi ve psikososyal yönleri olan karmaşık bir olgudur. Tarihsel olarak psikanalistler obez bireylerin psikoseksüel bir gelişim dönemi olan oral dönemde bir çok bozukluk yaşadığını ileri sürmektedir. Bu araştırmacılara göre oral uyarılmaya dair aşırı engelenmeler/hayal kırıklıkları ya da aşırı doyumlar bu döneme dair kısmi ya da bütün bir fiksasyona neden olmaktadır. Anne-çocuk ilişkisi üzerinde durulmuş ve çocuğun ihtiyaçları ile çevresel yanıtlar birbiriyle uyuşmadığında algısal farkındalığın şaşkınlıkla sonlandığını ve böyle bireylerin aç mı, tok mu olduklarını anlayamadıkları gibi yemeye olan ihtiyaçlarından diğer rahatsız edici duygulanımları ayırt edemediklerini belirtmiştir. Bu alanda yapılan çalışmaların sayısı her geçen gün artsa da obezite ile ilgili projektif testlerin kullanıldığı oldukça az sayıda çalışma bulunmaktadır. Bu sayılan kavramlar göz önüne alınarak obezitenin ruhsal işleyişine dair bilgi edinebilmek için 15 kadın hastaya İstanbul'da özel bir hastanede Rorschach testi uygulanmıştır. Bu çalışma ile obezitenin psikodinamiğine ait zihinsel süreçler, annesel ve babasal özdeşimler, erken dönem nesne ilişkileri, duygulanım dünyası, savunma mekanizmları, libidinal ve agresif dürtülere dair önemli sonuçlar elde edilerek tartışılmıştır.
Exploring the Psychodynamics of Obesity with Rorschach Test
Obesity is a complex medical and psychosocial phenomenon. Historically, psychoanalysts have emphasized the notion that obese individuals have encountered a serious disturbance during the oral stage of psychosexual development. According to them, emotional deprivations or excesses in this stage of development somehow become associated with nourishment in the potentially obese individual, presumably, because the mother of the obese-prone child feeds it inappropriately in relationship to its emotional and nutritional needs. As a result, many obese children and adults fail to distinguish between hunger, satiation, and other sensations or emotions. Although there is an abundance of empirical observations, new findings, and a growing number of theories on the subject; there are not enough studies carried out by projective tests in obesity. In regard to this fact, Rorschach Test is applied to 15 obese adult women in order to define and understand psychic functioning of obesity and with a psycho-analytic perspective in a private hospital in Istanbul. In terms of this perspective, findings of this study which gives important information about mentalization processes, maternal and paternal identification, early object relations, affective world, defense mechanisms, libidinal and agressive impulses will be discussed to explore the psychodynamics of obesity.

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