ABSTRACT

This article describes the course of a psychotherapy with a depressed encopretic boy, using a psychoanalytic approach. The therapy was administered in a public welfare clinic in Israel. Based on an understanding of how the boy’s developmental needs had been neglected, an appropriate intervention programme was constructed and implemented. The principal insights determining the course pursued by the psychotherapist included the understanding acquired of the dysfunction and absences within the mother-child relationship during the boy’s early years, and the need for the therapist to provide corrective and containing maternal emotional experiences, together with insight regarding the repercussions on the boy’s emotional life. Additional understanding was gained about the role of the boy’s encopresis, which comprised a symptom, and seemed to be a response to the repressed, unmodulated regressive anger towards the internal maternal figure, owing to the parents’ difficulties in meeting the boy’s primary developmental needs.

摘要

本文描述了使用精神分析方法对抑郁症男孩进行心理治疗的过程。该疗法是在以色列的一家公益诊所进行的。在了解男孩的发展需求如何被忽视的基础上，制定并实施了适当的干预计划。决定心理治疗师所追求课程的主要见解包括对男孩早年母子关系中的功能障碍和缺席的理解，以及治疗师需要提供纠正性和包容性的母性情感体验，以及有关以下方面的见解对男孩情感生活的影响。对男孩大便失禁的作用有了进一步的了解，包括症状，