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Yıl:2013; Cilt: ; Sayı: 20>> Özet
Yansıtma: Psikopatoloji ve Projektif Testler Dergisi; 2013;(20):77-89
Dissosiyasyonun Eşlik Ettiği Bir Psikoz Olgusu
A Güler, Z Güney
İntihar düşünceleri K'yı, üçüncü kez psikiyatri kliniğine yatırmıştı. Yaşadığı travmatik ayrılık/yalnızlık sonrası "ilaç gibi geldi"ğini ifade ettiği ilk kişiliği ile lise yıllarında tanışmıştı. Daha sonra "farklı suretlerde kişilikler" ile hayatına devam edecekti. Hastalığının alevli döneminde zarar görme kaygısı, saldırganlık ile intihar düşüncelerine, yakınındakileri tanıyamama ve "hiçbir şeyi hatırlamama" gibi dissosiyatif durumlar eşlik edecekti. Hastaneye son yatışında, kendisine Bay K diye hitap edilmesine karşılık "isminin İrfan olduğunu, bir probleminin olmadığını, K'non bazı sorunları olduğu için burada toplandıklarını" söyleyecekti. İkinci ve üçüncü klinik yatışları sırasında K'ya 14 ay arayla uygulanan Rorschach testinde, paranoya ve perseküsyona ait yanıtlar görülmüi; iki uygulama arasında farklılıklar da dikkat çekmiştir. Fransız Okulu Rorschach kodlama sistemine uygun olararak analitik test yorumu yapılmıştır. Dissosiyatif Bozukluk ve Paranoid Şizorfeni tanılarını alan K'nın perseküsyon, projeksiyon ve dissosiyasyonunun psikotik yapıdaki işleyişi ve projektif testlere yansıtılışının değerlendirilmesi bu çalışmanın amacı olarak belirlenmiştir.
A Case of Psychosis With Dissociative Sysmptoms
When you administer a projective test to a child, he speaks in symbolic language, talks about his internal experiences, emotions and thoughts, just like a dream. If the child is neurotic, he does it by creating a balance between fantasy and reality. From this aspect projective methods can be a transitional area for the child, just like playing. As I talk about projective methods in elementary school, it is important to talk about latency period. According to Anna Freud, in latency period materials previously used agressively and destructively are now used in a constructive way towards building, planning, sharing and learning needed for adaptation to communal life. The ability to play evolves into ability to work, with a gradual transition of the pleasure principle to the deferred gratification of the reality principle: the capacity to wait, carry out a plan. Projective methods used at school while working with children are verbal tests like CAT and TAT and drawing tests like, The Human Figure Drawing Test, The Family Drawing Test and The Tree Drawing Test. These tests cannot be used as a determines the need is information given by educators, class activities and observations, feedback fromn families and from children. Each child's basic concern is on the parents and projective methods provide a facilitative area for the child to express this concern. For this reason, guidance counselors need to make parents think about what their chid has talked about, and help them to draw their attention to their child's psychological concerns.

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