Leaving an autistic pathological organization for “the land of color”: The dilemma of treatment (notice n° 507038)

détails MARC
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fixed length control field 02038cam a2200157 4500500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250121085230.0
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title fre
042 ## - AUTHENTICATION CODE
Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Durban, Joshua
Relator term author
245 00 - TITLE STATEMENT
Title Leaving an autistic pathological organization for “the land of color”: The dilemma of treatment
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2020.<br/>
500 ## - GENERAL NOTE
General note 62
520 ## - SUMMARY, ETC.
Summary, etc. This paper describes the progress of the five-sessions-per-week analysis of a twenty-one-year-old man, which started thirteen years ago and is still in progress. Since the patient presents a case of high-functioning ASD, albeit with quite distinct autistic mechanisms and features, he can provide us with many insights regarding the difficulties and satisfactions of emerging from an autistic universe into the world of communication and relationships. The patient’s journey went through three main stages: autistic encapsulation, autisto-psychotic defensive organization, and, finally, manic-perverse pathological organization, with severe obsessive-compulsive defenses that help him ward off the pains and anxieties of otherness and dependence. Central to this patient’s journey is the “dilemma of treatment,” namely accepting the analyst’s proposed “cure” over his own autistic self-generated, omnipotent one. This dilemma can often deteriorate into a standstill that might even result in a negative therapeutic reaction. However, if we keep in sight the patient’s deep anxieties concerning change while, at the same time, relating them to his aggression, destructiveness, and omnipotent-perverse need for a new protective structure, some further benign object-related changes might emerge. This calls for the analyst’s acknowledgment of his responsibility for the inevitable anxiety and pain he is causing the patient with his analytic “cure.”
786 0# - DATA SOURCE ENTRY
Note Journal de la psychanalyse de l'enfant | 10 | 2 | 2020-10-28 | p. 95-120 | 0994-7949
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/journal-de-la-psychanalyse-de-l-enfant-2020-2-page-95?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-de-la-psychanalyse-de-l-enfant-2020-2-page-95?lang=en&redirect-ssocas=7080</a>

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