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Yıl:2016; Cilt: ; Sayı: 26>> Özet
Yansıtma: Psikopatoloji ve Projektif Testler Dergisi; 2016;(26):113-123
Beslenme ve Yeme Bozukluklarındaki Sapkın Durumlar: Bulimik ve Anoreksik Olan Genç Kadınlarda Psikoseksüalitenin İncelenmesi
C Chabert, S Vibert (Çeviren: G Fıkırkoca)
Beslenme ve yeme bozukluklarının oluşumu ve gelişimi, genel olarak anne-çocuk etkileşimlerindeki zorluklarla ve gelişimin erken dönemleriyle ilgilidir. Bu noktaları gözardı etmeksizin, sadece ayrıcalıklı bir dönemde (ergenlik) görülen ve kadınlarda yaygın olan bu duruma bağlı belirtilerde, psikoseksüel boyutun da ele alınması önemlidir. Bircok çalışma, bu psikopatolojik örgütlenmelerin altında, çoğunlukla sınır yapılar olduğunu göstermektedir. Bu sınır yapılar, yarılma, yansıtma, ve inkar gibi özellikle çevreye olan bağımlılıkla ilgili bir patolojiyle tetiklenen savunma mekanizmalarıyla karakterizedir. Ayrıca, kısmi ve sapkın bir ilişkinin altını çizen başka yollar da gelişmiştir: bazı savunma mekanizmaları benzerdir, ama aynı zamanda önemli derecede narsisizm içeren cinsel sorunsal, iğdiş edilmenin inkarı ve gerçek benliğin yarılması. Bağımlılık, aktif ve pasif pozisyonların oyunu aracılığıyla anlaşılan, bazen maskelenmiş depresif özellikler (genellikle melankolik anlamda) ve bazen de mazoşist ve sadist ketlenmelerin altında yatar. Bu çalışmamız özellikle şu projektif veriler üzerinde durur; - Nesne kaybını işlemeye özgü özellikler ve beslenme ve yeme bozukluklarından sapan sapkın özellikler ve onların üzerinde yapılan yoğun yatırım arasında eklemleme - Biseksüaliteye ve cinsiyet farklılıklarına bakıştaki kimlik özellikleri - Cinsellikle karşılaşmanın tetiklediği ilişkisel hareketlerin özellikleri Anahtar Kelimeler: beslenme ve yeme bozuklukları, sapkınlık, savunma, psiko-seksüalite, inkar, yarılma
Perverse Adjustments In Eating Disorders: Analysing Psychosexuality Among Young Anorexic And Bulimic Women
The early stages of development as well as complex mother-child interactions are often implicated in the origins and evolution of eating disorders. Without overlooking these elements, the psychosexual dimension inherent to these symptoms needs to be taken into account, if only because of their favoured period of onset (adolescence) and the prevalence of this symptomatology among women. Numerous studies have highlighted the underlying psychopathological organizations essentially illustrating borderline functioning. Borderline functioning is characterized by defence mechanisms such as splitting, projection and denial, and draws on major dependence on the environment. However, other paths have been developed, highlighting a partial and perverted relationship: some joint mechanisms of defence but also sexual issues, showing the significance of narcissism, the denial of castration and the splitting of the actual ego. Masked depressive elements (often with a melancholic valence) and sadistic and masochistic attachments that can be identified through an active and passive game of position reinforce dependence. Based on projective data, our study specifically focuses on - the relationship between the singular modalities of processing object loss and the use of perverse adjustments mobilized in the deviations of eating disorders and their overinvestment - the particularity of identifications in view of bisexuality and gender differences - the characteristics of relational movements mobilized through confrontation to sexuality.

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