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Yıl:2022; Cilt: 9; Sayı: 3>> Özet
TAM METİN
Ayna Klinik Psikoloji Dergisi; 2022;9(3):681-702
Gece Yeme Sendromunun Nesne İlişkileri Bağlamında Projektif Testler ile Değerlendirilmesi
A Dönmez
Van Eğitim ve Araştırma Hastanesi, Ankara
Psikanalitik kurama göre, erken dönem nesne ilişkilerinin niteliği ruhsallığın gelişiminde büyük önem taşımaktadır. Psikanalitik çalışmalarda, çocukluk dönemindeki engellenmelerin, duygusal ihmalin ve ayrılma-bireyleşme süreciyle ilgili sorunların yeme bozukluğunun gelişiminde etkili olduğu görüşü hâkimdir. Bununla birlikte psikanalitik teoriler, yemek yeme, rüya görme ve ruhsal süreçler arasındaki ilişkiyi daima vurgulamıştır. Buradan yola çıkılarak bu çalışmada, erken dönem nesne ilişkilerindeki sorunsalların yeme bozukluğuna etkisi incelenmiştir. Donald W. Winnicott ve Wilfred R. Bion’un kuramları temel alınarak, uyku sorununun da eşlik ettiği gece yeme sendromunun ele alınması çalışmanın asıl odak noktasıdır. Bu bağlamda, projektif testler olan Rorschach ve Tematik Algı Testi aracılığıyla gece yeme sendromu olan obez bir kadın danışanın ruhsal süreçleri incelenmiştir. Psikanalitik yönelimli klinik görüşmelerden sonra sırasıyla Rorschach ve Tematik Algı Testi uygulanmıştır. Fransız Okulu'nun içerik analizi yöntemine bağlı kalınarak psikanalitik yönelimli yarı yapılandırılmış klinik görüşmeler ve projektif test bulguları değerlendirilmiştir. Ayrıca, danışanın ruhsal süreçleri ile rüya görememe arasındaki ilişki psikanalitik kuram temel alınarak yorumlanmıştır.
Evaluation of Night Eating Syndrome within the Context of Object Relations through Projective Tests
According to psychoanalytic theory, the quality of early object relations is of great importance in the construction of the psyche. The dominant psychoanalytic view is that childhood frustrations, emotional neglect and problems related to the separationindividuation process are effective in the development of eating disorders. Psychoanalytic theories have always stressed out the relationship between eating, dreaming and the psychic processes. From this point of view, the present article aimed to examine the effects of problematic early object relations on eating disorders. Based upon the theories of Winnicott and Bion, the main focus of this study was to investigate night eating syndrome accompanied by sleep problems. In this context, the psychic processes of an obese female client with night eating syndrome were examined through two projective tests. After the psychoanalytically informed clinical interviews, the Rorschach and Thematic Perception Test were applied, respectively. Information obtained through semi-structured clinical interviews and application of projective tests were evaluated by adhering to the content analysis method of the French School. In addition, the relationship between the client's psychic processes and the inability to dream was interpreted on the basis of psychoanalytic theory.

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