On the Subject of a Clinical Case Followed-up in Psychiatry

Deyon, Dominique

On the Subject of a Clinical Case Followed-up in Psychiatry - 2002.


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The evolution of a treatment in a day hospital of a hypochondriacal patient having presented two serious states with suicide attempts shows how hypochondria can be considered as a passage between different pathological states and constitutes a stopping point preventing deeper disorganization. Losses, the importance of which had been defensively denied by the patient, came up and reactivated a traumatic personal history. In this case, it seemed to us that narcissistic support, fundamentally respecting the patient’state, within a psychiatric treatment tending towards psychotherapy, was able to bring dynamism to a pathological condition usually perceived as not very able to evolve.

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