Dergi Ara >>
Yıl:2022; Cilt: 1; Sayı: 37>> Özet
TAM METİN
Yansıtma: Psikopatoloji ve Projektif Testler Dergisi; 2022;1(37):0-0
İçinde Yaşadığım Zırh: Bir Bariatrik Cerrahi Hastasının Boylamsal Takibi
A Topyay Özfidan
Kurumdan Bağımsız, İstanbul
Bu çalışmanın amacı, bir bariatrik cerrahi hastasının ameliyat öncesi ve ameliyattan bir yıl sonrası ruhsal işleyişinin Rorschach Testi ve Tematik Algı Testi aracılığıyla incelemektir. Çalışmanın örneklemini, Başkent Üniversitesi İstanbul Hastanesi'ne başvuran obezite tanısı almış, 47 yaşındaki kadın bir katılımcı oluşturmaktadır. Bilgilendirilmiş gönüllü onam formu alınmıştır. Katılımcı ile her iki uygulamada psikanalitik yarı yapılandırılmış öngörüşme yapılmış ve sonrasında Rorschach Testi ve Tematik Algı Testi uygulanmıştır. Uygulanan projektif testler Fransız Okulu'na göre analiz edilmiş ve yorumlanmıştır. Bu çalışmanın hipotezinde bariatrik cerrahi ile hızla değişen bedene ruhsal organizasyonun eşlik etmeyeceği düşünülmektedir. Hastanın her iki protokolünde de, obezitede ruhsal zarf eksikliğine bağlı olarak bu türden yanıt içeriklerinin görülmesi ile kartlara verdiği cevap içeriklerinde depresyon ve kaygı yanıtlarının operasyon sonrası testte belirginleşmesi, her iki testte de anatomi yanıtlarının varlığı beklenmektedir. Bulgularda özellikle kimliğe gönderme yapan Rorschach Testi'nde V. Kart, TAT Testi'nde depresif pozisyon, kayıp ve yalnızlıkla baş etme ile ilgili 1, 3BM, 10, 12BG ve 13B kart yanıtları ameliyat sonrası, depresif duygulanımın arttığını göstermektedir. Her iki testte de anatomi yanıtlarının fazlalığı, dokunma ile ilgili içeriklerin varlığı endişe ve kapsayıcı zarf eksikliğini ve ameliyat ile değişen bedenin ruhsal organizasyonda bir farklılaşmaya neden olmadığı sonucunu göstermektedir.

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