ABSTRACT

This article discusses a unique form of withdrawal observed in children with ASD, using a detailed case study. This withdrawal can be understood as linked to a psychotic organisation, in addition to the autistic aspects and early developmental difficulties in the sense of self. A child on the spectrum with psychosis makes for a unique case, because the psychosis rests on an early developmental impairment. In such cases, a fragile self uses disintegration of the mind as a mechanism that enables blurring of the self. This defence mechanism is different from Tustin’s ideas about the autistic sensory blurring of the self through autistic objects and shapes. If this psychotic mechanism becomes fixed, it creates unique anxieties regarding the lack of self-nuclei. The constant projection of large parts of the self into outside figures creates a fear of rapid form transformation and poses unique challenges in analysis. A clinical example is given to illustrate these momentary states.

摘要

本文通过详细的案例研究讨论了在 ASD 儿童中观察到的一种独特的戒断形式。除了自闭症方面和自我意识的早期发展困难之外，这种退缩可以理解为与精神病组织有关。患有精神病的儿童是一个独特的案例，因为精神病取决于早期发育障碍。在这种情况下，脆弱的自我利用思想的瓦解作为一种机制，使自我变得模糊。这种防御机制不同于Tustin关于通过自闭症对象和形状对自我的自闭症感觉模糊的想法。如果这种精神病机制变得固定，它就会对缺乏自核产生独特的焦虑。自我的大部分不断投射到外部形象中，会产生对快速形式转变的恐惧，并在分析中提出独特的挑战。给出了一个临床例子来说明这些瞬时状态。