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Yıl:2016; Cilt: ; Sayı: 26>> Özet
Yansıtma: Psikopatoloji ve Projektif Testler Dergisi; 2016;(26):143-149
Frotemporal Demansın Davranışsal Varyantının Projektif Testler Aracılığıyla İncelenmesi
E Kalem
Bu çalışmada projektif testler aracılığıyla frontotemporal demansın davranışsal varyantı (buFTD) incelenmiştir. İlgili literatürde, projektif testlerle buFTD’yi araştıran bir çalışma bulunmadığı görülmektedir. Çalışmaya, hastalığın erken döneminde teşhis konmuş olan buFTD hastaları dahil edilmiş; hastalar, İstanbul Üniversitesi Tıp Fakültesi Nöroloji Bölümü'nden alınmıştır. Psikanalitik bakış açısı ile, buFTD hastalarının değerlendirilmesinde, Rorschach, TAT ve Erken Dönem Anılar Formu kullanılmıştır. Bu çalışmada, Rorschach Kart 4, TAT 3BM ve 13MF kartları ve Erken Dönem Anılar Formu ile toplanmış veriler niteliksel olarak analiz edilmiştir. Araştırma hipotezi, bağlantılara yönelik saldırılarla kendini gösteren ölüm dürtüsünün etkisi altındaki içsel kendilik ve ebeveyn/öteki temsillerinin daha dezorganize bir halde olacağı şeklindeydi. Araştırma bulguları ise, hastaların daha fazla olumsuz/kötü içsel kendilik ve ebeveyn/öteki temsillerine sahip olduklarını ortaya koymuş ve araştırma hipotezini desteklemiştir. Bu sonuç, Winnicott'in "tutma" fonksiyonu ve Bion'un "kapsama" fonksiyonu bağlamında yorumlanabilir. Ölüm içgüdüsü etkisi sonucu yaşanan biyolojik temelli bir nörodejeneratif sürecin psikolojik açıdan görünümleri vardır ve bunlar da, kişinin içsel dünyasındaki kendilik ve öteki temsilleri içinde yer alan tutma ve kapsama yapılarının tahrip olmasını içerir. Bu bulgular, araştırmanın diğer bulguları ile daha kapsamlı bir şekilde desteklenebilir.
Investigation of the Behavioral Variant of Frontotemporal Demantia Using Projective Tests
The present study investigates the behavioral variant of the frontotemporal dementia (bvFTD) using projective tests. In the related literature it is seen that there was no study investigating the bvFTD with projective tests. The bvFTD patients who were diagnosed to be at the early stage of the illness were accepted for the study. The patients were taken from the Neurology Department of Istanbul University Medical Faculty. With a psychoanalytic point of view, the Rorschach, TAT and Early Recollections Form are used in the assessment of bvFTD patients. In this study only a segment of the received data is analysed using a qualitative approach. The data received from Rorschach Card 4, TAT Card 3BM and 13MF, and Early Recollections Form are analysed qualitatively. The internal self and parental other representations are depicted using the positive/good and negative/bad axis as the organizing perspective. The research hypothesis was that the patients would show more disorganized internal representations due to the effects of the death drive which makes its effects via attacks on linking. Findings revealed that the patients had more negative/bad internal o and parental other representations, which supported the research hypothesis. This result can be interpreted within the context of the "holding" function of Winnicott and "containment" function of Bion; a biologically based neurodegenerative process due to the effect of the death instinct has its psychological correlate which includes the destruction of the holding and containing structures within ones internal world of self and other representations. These findings can be more comprehensively supported with the results of the other findings of the research.

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