ABSTRACT

This paper illustrates features of psychoanalytic psychotherapy with a young adolescent who had experienced adverse childhood events, culminating in cumulative trauma. This led to the atrophying of her ‘sense of place’ and ‘place identity’, both integral to the development of a sense of self. The patient’s memory of places seemed to have been pulverised and required the contact and containment of the adult mind of the therapist to find recomposition. A therapeutic relationship developed, thanks to the sharing of objects and places which had become fragmented in the patient’s mind. There was a need for locations, paths, places, indeed entire nations needed to be emotionally recomposed in the transference, to assume rudimentary but thinkable forms. The psychotherapy made it possible to find part of my young patient’s memory through play, and the value of intensive but short-term work became evident. Psychotherapy allowed partial repair of the capacity for place attachment, which facilitated the exploration of the external world, the possibility of attachment to new places, and the construction of new place identities, alongside her developing sense of herself.

摘要

本文阐述了对一名经历过不良童年事件并最终导致累积创伤的青少年进行精神分析心理治疗的特点。这导致了她的“地方感”和“地方认同”的萎缩，这两者都是自我意识发展的一部分。病人对地方的记忆似乎已被粉碎，需要治疗师成人思想的接触和遏制才能重新组合。由于分享了在患者脑海中变得支离破碎的物体和地点，一种治疗关系得以发展。需要地点、路径、地点，甚至整个国家都需要在移情中进行情感重组，以呈现基本但可思考的形式。心理治疗使我有可能通过游戏找到我年轻病人的部分记忆，密集但短期工作的价值变得显而易见。心理治疗可以部分修复地方依恋的能力，这促进了对外部世界的探索，对新地方的依恋的可能性，以及新地方身份的构建，以及她对自己的意识的发展。