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Yıl:2016; Cilt: ; Sayı: 26>> Özet
Yansıtma: Psikopatoloji ve Projektif Testler Dergisi; 2016;(26):61-70
Hafif Kafa Travması: Klinik karşılaşma deneyiminde şanssız azınlık
P Bruguiere, MC Pheulpin, K Benfredj (Çeviren: S Tayman)
Hafif Kafa Travması'na (HKT) maruz kalan hastalar genelde oldukça hızlı bir şekilde iyileşen ve kaybolan farklı semptomlar gösterirken, sıradışı ve inatçı ağır bozukluklar bildiren bir "şanssız azınlık" bulunmaktadır. Sıklıkla hissettikleri zorlukların Kabul görmesi, nadiren de bir tedavi talebinde bulunmak için hastaneye gelen bu hastaların arasından bir grup üzerinde nörolojik tetkik ile nöropsikolojik ve psikolojik değerlendirmeleri birleştiren bir klinik çalışma halen devam etmektedir. Bu çokalanlı araştırma ile hedefimiz psikodinamik boyutu araştırmaktır; bu açıdan hastaların her birine bir görüşme ve psikolojik projektif testleri birarada kullanan bir klinik inceleme sunarak psikolojik işleyişi inceliyoruz. Hepsi gerçekten travmatik bir nöbetten muzdarip hastalar bunu psikolojik açıdan idare edebiliyorlar mı? Hasarı göz önünde bulundurarak, libidinal, objektal ve narsisistik hareketler üzerine bir odakla bütünleştirerek saldırganlığın kaderlerini incelemeye karar veriyoruz. Saldırgan tasarımlar bulduğumuzda, etkinlik ve edilgenlik soruları ve bu iki konum arasındaki olası değişimler üzerinde odaklanıyoruz. Bu farklı hareketler psikolojik tedavinin göstergeleri olarak neleri ortaya çıkarmaktadır? Libidinal hareketler hâlâ tanımlanabilir mi? Bu sorulara dair araştırmamız ve travma tedavisinin çeşitli yöntemleri için belirttiğimiz taslak, 15 Rorschach ve TAT'nin derinlemesine incelenmesini temel almaktadır.
Mild Traumatic Brain Injury: Miserable Minority Coping With Clinical Encounter
While patients who have sustained Mild Traumatic Brain Injury (MTBI) manifest dufferent symptoms that generally improve and disappear quite quickly, there is a "miserable minority" who reports abnormal and persistent severe impairments. A clinical study that associates neurological examination, neuropsychological and psychological assessments is currently being carried out among a number of these patients; the ones who come to hospital, in a department of rehabilitation just to be recognized in the difficulties they feel in most cases, and less frequently, because they are looking for a treatment. In this multidisciplinary research, our objective is to investigate the psychodynamic aspect; in this way, we examine psychological functioning by offering each of these patients a clinical investigation, combining an interview and psychoanalytical projective tests. Are these patients, who have all suffered from a real traumatic attack, able to manage with it psychologically? Considering the injury, we decide to study the fates of aggressivity, complemented by a focus on libidinal, objectal and narcissistic movements. When we find aggressive representations, we focus on the question of activity and passivity and on the possible fluctuations between these two positions. What do these different movements reveal as indicators of psychological treatment? Are libidinal movements still identifiable? Our examination of these questions and our outline of the various methods of treating trauma are based on the in-depth study of the 15 Rorschach and the TAT.

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