Journal of the American Psychoanalytic Association ( IF 0.919 ) Pub Date : 2021-04-12 , DOI: 10.1177/0003065121993231 Laura Balottin , Luca Quagelli , Maria Vittoria Costantini
The treatment of adolescents suffering from early traumatic experiences inescapably involves the encounter with patients’ concrete use of their bodies and actions. The clinical history of an adolescent girl reveals the relationship between traumatic transgenerational abandonments and self-cutting in the transference-countertransference relationship. Initially the patient’s body and actions were the only way to communicate experiences that could not be conveyed in words and represented: the “skin for two” of the original psychosomatic envelope needed to be wounded, cut, broken concretely. The establishment of a boundary between internal and external, self and other, is the result of a complex process with roots in the quality of the encounter with the object. Gradually, in the encounter with the analyst, the young patient may construct a tenuous possibility of differentiation and begin to access the first outline of a representation of loss.
中文翻译:
一个人的身体:从一个遭受创伤性早期遗弃的青少年的自我切割到分离的切割
对遭受早期创伤经历的青少年的治疗不可避免地涉及与患者对他们身体和行为的具体使用的接触。青春期女孩的临床病史揭示了移情-反移情关系中创伤性跨代遗弃与自我切割之间的关系。最初,患者的身体和行为是交流无法用语言表达和表现的体验的唯一方式:原始心身信封的“两个人的皮肤”需要具体地受伤、切割、破碎。建立内部与外部、自我与他人之间的界限,是一个复杂过程的结果,其根源在于与对象相遇的质量。渐渐地,在与分析师的相遇中,