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Zeddies, Timothy James. "Analytic authority and the good life in relational psychoanalysis /." Full text (PDF) from UMI/Dissertation Abstracts International, 2000. http://wwwlib.umi.com/cr/utexas/fullcit?p9992949.
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Tosio, Paul. "An object relational psychoanalysis of selected Tennessee Williams play texts." Thesis, Rhodes University, 2003. http://eprints.ru.ac.za/17/.
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Lloyd, da Silva Mary C. "Self and (m)other in Patrick White's fiction : an object relations approach." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1178.
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This thesis offers a new interpretation of Patrick White's novels, using Object Relations psychology. Object Relations psychology differs from Freudian psychology in that it shifts the focus of attention from notions of the Oedipal conflict and repression to issues of nurturing and relationships. This study charts the development of the Whitean protagonist across a selection of novels. The focus of my thesis is White's developing protagonist, and no attempt is made to offer a psychological profile of Patrick White himself. The thesis first surveys a representative sampling of existing critical material. It then defines the theoretical framework of the study and, finally, it applies this framework to the novels.
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Rebillet, Susan Bates. "Object Relations Correlates on the MMPI." Thesis, North Texas State University, 1987. https://digital.library.unt.edu/ark:/67531/metadc330987/.
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This study was undertaken to help determine the usefulness of the Minnesota Multiphasic Personality Inventory (MMPI) for providing information regarding a person's object relations. Subjects were 136 college students (56 males, 80 females) ranging in age from 18 to 48. Subjects were administered the Rorschach, the Self Object Scale (SOS), and the MMPI. The Rorschach was scored using Blatt, Brenneis, Schimek, and Glick's (1976a) manual for scoring the level of object relations (Developmental Analysis of the Concept of the Object Scale-DACOS), the SOS scored as Blatt, Chevron, Quinlan, and Wein's manual (1981) directs, and the MMPI scored in the standardized manner using college-age norms. MANOVA's on the SOS and the DACOS resulted in significant effects for sex on MMPI scales 6, 7, and 8. Sex differences on MMPI scales 6 and 4 were obtained for high/low level of object relations on the DACOS. Pearson correlations showed positive correlations for males between level of object relations on the SOS and MMPI scale 5, and negative correlations on MMPI scale 5 for females. For males positive correlations between the DACOS and MMPI scale 4 and negative correlations on MMPI scale 10 were noted. These results were discussed as pertaining to the socialization of males and females. The most puzzling finding was the lack of correlation between the DACOS and the SOS. This was discussed as possibly being a result of the effect of the Rorschach, which measures psychopathology, whereas the SOS may be a purer measure of object relations. The paucity and weakness of the results was attributed to the restricted variance of the population. Implications for future research included obtaining a larger sample from a normal population, establishing clear norms for object eolations measures, obtaining correlations between a measure of current functioning and the object relations measures as a step toward establishing cut-off scores for groups on the measures, and further exploration of the weights in the scoring categories "of Blatt's DACOS scale.
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Sukanek, Jennifer. "The identity and objectification of personal trainers." Diss., Columbia, Mo. : University of Missouri-Columbia, 2008. http://hdl.handle.net/10355/6064.
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Thesis (M.A.)--University of Missouri-Columbia, 2008.The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on August 19, 2009) Includes bibliographical references.
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Rasile, Karen D. "Object Relations Theory and Personal Construct Theory: Rapprochement Opportunity." Thesis, North Texas State University, 1987. https://digital.library.unt.edu/ark:/67531/metadc500772/.
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Empirical investigation of the tenets of Object Relations Theory is recent. This study of the theoretical convergence between Object Relations Theory and Personal Construct Theory brought a new direction to the empirical investigation. It was hypothesized that individuals who displayed a well developed level of object relations, as measured by Object Relations Theory, would also display a highly adaptive blend of cognitive complexity and ordination, as described by Personal Construct Theory, and vice versa. A correlational analysis of personality measures on 136 college students approached but did not attain statistical significance. Results indicated no significant theoretical convergence between Object Relations Theory and Personal Construct Theory. Further research is warranted only if greater variability in sample age, life experience, and psychopathology is assured.
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Niemeyer, Kristin M. "An Exploration of Object Relations and the Early Working Alliance in a University Clinic Sample." Thesis, University of North Texas, 2004. https://digital.library.unt.edu/ark:/67531/metadc4583/.
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The current study investigated the relationship between clients' object relations functioning and the working alliance. The Social Cognition and Object Relations Scale (SCORS; Westen, 1991), an object relations scoring system for the TAT, was used to assess object relations functioning. Forty-eight therapy clients at a university-based training clinic were administered the TAT, Adult Attachment Scale (AAS), Symptom Checklist 90-Revised (SCL-90-R; Derogatis, 1977), and the short form of the Marlowe-Crowne Social Desirability Scale (MCSD; Crowne & Marlowe, 1960). Following the initial assessment of client characteristics shortly after intake, clients and their therapists rated the working alliance 3 sessions later. Results indicated that the SCORS was significantly correlated with client and therapist ratings of the working alliance. The current study also assessed the predictive validity of the SCORS by examining how its various scales are related to aspects of the working alliance and the other measures used in this study. The findings suggest that the relationship between object relations functioning, the working alliance, symptom severity, and attachment disturbance depends on the aspect of object relations that is being assessed.
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Freedenfeld, Robert N. "Assessing the Object Relations of Sexually Abused Females." Thesis, University of North Texas, 1992. https://digital.library.unt.edu/ark:/67531/metadc500657/.
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The TAT stories of 38 sexually abused females between the ages of 5 and 18 years and a clinical group of 26 females with no recorded history of abuse were analyzed using the Object Relations and Social Cognitions TAT Scoring System (Westen et al., 1985). Subjects in the sexual abuse group showed significantly lower mean scores on a scale measuring affect-tone of relationship paradigms and on a scale measuring complexity of representations of people. In addition, pathological responses were given significantly more often by sexual abuse victims on the complexity of representations of people scale. Thus, sexually abused children showed more primitive and simple characterizations of people and more negative, punitive affect in their representations. Moreover, these results were independent of age, race, and intelligence. Group differences are discussed in terms of object relations development.
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Mears, Beverley. "Is there a connection between object relations (as described by Klein), problems with sexual intimacy and obsessive compulsive disorder?" Thesis, University of Essex, 2018. http://repository.essex.ac.uk/23469/.
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The purpose of this mixed method study carried out in an NHS mental health setting was to elucidate the connection between what was presented in the consulting room as OCD and how it is used to mask early object relations failure, which re-surfaces in adulthood as difficulties within the arena of sexual intimacy. The literature review identified the theoretical and empirical evidence for this hypothesis and highlighted gaps in the current understanding within psychoanalytic thought and object relations perspectives. The theoretical concepts used to understand the clinical data was based on Melanie Klein’s Object Relations Theory. The textual analysis of structured interviews identified levels of obsessive compulsive symptoms and sexual perception categorized as sexual esteem, sexual depression and sexual pre-occupation. Qualitative data was collected from a single case study and provided contextual information including unconscious material. The results of the quantitative study provided evidence for the intensity of OCD and identified negative sexual esteem and negative preoccupation as the dominant features within the sample; whilst the single case-study found evidence that OCD rituals and ruminations were used to mask disruptions in object relations which were noticed in anxious sexual relations. The conclusions of the study offer an important consideration for the treatment of OCD in an NHS setting. It adds to the psychoanalytic theory of obsessional neurosis in relation to the unconscious actions involved during sexual relations. Recommendations for further research include additional quantitative research with a larger sample and analysis of additional single case studies to provide additional evidence of the concept. Key Words: Obsessive Compulsive Disorder, Object, Object relations, Object Relationships, Projection, Sexual Intimacy, Symbol Formation.
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Scarborough, Janet. "Predicting life satisfaction from psychoanalytic personality theory : an examination of ego integration, quality of object relations, and attachment style /." Full text (PDF) from UMI/Dissertation Abstracts International, 2001. http://wwwlib.umi.com/cr/utexas/fullcit?p3008436.
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Junqueira, Camila. "Rumo à \'metapsicologia dos limites\': o diálogo possível entre a teoria pulsional e a teoria das relações de objeto e algumas de suas consequências - Freud, Winnicott e Green." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/47/47132/tde-16042010-113841/.
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Este trabalho fundamenta-se na compreensão da metapsicologia dos limites como parte da teoria psicanalítica que visa compreender a estruturação e o funcionamento dos limites do psiquismo, bem como parte da teoria psicanalítica que se destina a compreender a etiologia, o funcionamento e o tratamento das patologias-limite, manifestações decorrentes de falhas na constituição e no funcionamento dos limites do psiquismo. Tem como hipótese de pesquisa que o giro metapsicológico exigido pelos estados-limite se coloca menos no sentido de ampliar a diversidade de modelos teóricos e mais no sentido de fazer dialogar dois modelos teóricos que estão na base do pensamento psicanalítico, mas que foram historicamente separados e considerados incompatíveis, a saber: o modelo pulsional e o modelo das relações objetais. Os objetivos deste trabalho são os de (1) questionar os limites da oposição entre a teoria pulsional de Freud e a teoria relacional de Winnicott, (2) apresentar a alternativa que André Green propõe para essa aparente oposição, argumentando a favor da concepção de pulsão e objeto como um par inseparável, bem como (3) apresentar e discutir algumas consequências metapsicológicas do diálogo possível entre essas duas teorias a partir do estudo de Freud e de Winnicott, dando também destaque para as contribuições de André Green para esse diálogo a fim de verificar se a hipótese explicitada acima se sustenta. A presença do objeto na teoria freudiana e a presença do instinto na teoria winnicottiana num segundo momento do desenvolvimento emocional denotam certa abertura nessas teorias para o diálogo entre elas. A forte oposição entre essas teorias apontada pela literatura psicanalítica parece ser fruto de um momento histórico. Contudo, conclui-se também que o diálogo entre essas teorias deve ser realizado dentro de certos limites que contemplem a constatação que Freud e Winnicott se dedicaram ao estudo de dois níveis diferentes de apreensão do Self, que estão relacionados, mas não se sobrepõem. André Green, a princípio, desconsidera o limite desse diálogo a partir da argumentação de que a pulsão e o objeto formam um par inseparável, o que torna inadmissível uma teoria que se organize apenas em um desses pólos, promovendo, com isso, uma releitura de Freud e Winnicott e produzindo importantes avanços para a metapsicologia dos limites. Entretanto, mais recentemente, Green apresenta o que denomina de teoria dos gradientes, que corrobora com a constatação de que há limites nesse diálogo. O exame das consequências desse diálogo produziu algumas propostas, entre elas: uma nova reorganização da tópica psíquica a fim de incluir o não-psíquico, produto da desobjetalização e da clivagem, também denominado de terceira tópica; a compreensão das patologias-limite como um tipo específico de neurose narcísica; e o pensamento metapsicológico como auxílio ao analista aos desafios clínicos propostos por esses casos. Por fim, o exame realizado nesta tese demonstra que o giro metapsicológico exigido por essas patologias está na direção do diálogo entre a teoria pulsional e a teoria das relações de objeto, confirmando a hipótese inicial desta pesquisaUnderstanding the metapsychology of limits as a part of the psychoanalytic theory which aim to understand the framing and the functioning of the psychic limits as well as a part of the psychoanalytic theory which aim to understand the etiology, the functioning and the treatment of the borderline cases, manifestations which occur due to failures at the constitutioning and functioning of the psychic limits. And departing of the hypothesis that the metapsychologycal turn demanded by the borderline states is less in the sense of amplify the diversity of metapsychological models and much more in the sense of set in dialogue two theoretical models which are in the base of the psychoanalytic thought, but which were historically split off and considered incompatible: the drive theory and the object relation theory. The aims of this research were (1) to question the limits of the opposition between Freuds drive theory and Winnicotts object relation theory, (2) to present the solution Andre Green propose to this apparent opposition, arguing in favor of the conception of drive and instinct as an inseparable pair, (3) to present and to discuss some of the metapsychological consequences of the possible dialogue between these two theories since study of Freuds and Winnicotts theories, also giving emphasis to the Greens contributions to this dialogue, in order to verify if the hypothesis describe above can be maintained. The presence of object in Freuds theory and the presence of instinct in Winnicotts theory in a second moment of the emotional development denote some overture on theses theories for dialogue. The strong opposition between then, pointed by the psychoanalytic literature, seems to be result of a historical moment. Nevertheless, it follows that the dialogue between these two theories must be done inside certain limits which regard the evidence that Freuds and Winnicotts studies concerned two different levels of apprehension of the Self, which are related, but not superpose each other. Andre Green, at first, disrespect the limits of this dialogue arguing in favor that drive and instinct constitute an inseparable pair, which turns unacceptable one theory which is organized upon one of these two poles, promoting then a re-reading of Freuds and Winnicotts theories and producing important advances for the metapsychology of limits. Meanwhile, more recently, Green brings up what he calls the gradients theory, which corroborate with the evidence that there are limits in this dialogue. The examination of the consequences of this dialogue have produced some proposals, among them: a new reorganization of the psychic topic in order to include the no-psychic, product of the desobjatalization and splitting process, also named third topic; the understanding of borderline pathologies as a specific type of narcissistic neurosis; and also the metapsychological thought as a help to the analyst in front of the clinical challenges proposed by these cases. Finally, the exam accomplished on this research give evidence that the metapsychological turn demanded the borderline states is towards a dialogue between drive theory and object relational theory, confirming the initial hypothesis of this research
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McIver, Victoria. "Psychoanalytic feminism: a systematic literature review of gender." AUT University, 2010. http://hdl.handle.net/10292/905.
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Using a modified, systematic literature review I will examine issues of subjectivity, gender, and differnce in relation to psychoanalytic feminist theory. Psychoanalytic feminism evolved out of a reaction to classical psychoanalytic theory. In particular, the works of Chodorow (1978), Kristeva, (1977, 1989) and Benjamin (1988) were used. The literature revew will discuss the development of these theoretical perspectives and the understanding of subjectivity, gender and difference in psychoanalytic feminism and the implication this has for clinical practice.
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Joshi, Sheela Madhukar. "Transitional objects in adult treatment : case studies : a project based upon an independent investigation /." View online, 2008. http://hdl.handle.net/10090/5902.
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Freedenfeld, Robert N. (Robert Neil). "Child Physical Abuse: An Analysis of Social Cognition and Object Relations." Thesis, University of North Texas, 1994. https://digital.library.unt.edu/ark:/67531/metadc278451/.
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Arzul, Jean-Philippe. "An investigation into the object relational patterns of violent male juvenile offenders." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=init_8829_1180443712.
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Although deficits in object relations patterns have been identified in populations of violent offenders, few studies have examined the object relations of male juveniles incarcerated for violent crimes. The present study examined four dimensions of object relations, as measured by the Thematic Apperception Test and Westen's Social Cognitions and Object Relations Scale with a sample of eight male juvenile offenders incarcerated for violent crimes as De Novo and Eureka Youth Care Centres. These dimensions are complexity of object representations, affect tone of relationship paradigms, capacity for emotional investment in relationships and understanding of social causality.
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Isler, Diane E. (Diane Evelyn). "Rorschach Assessment of Object Relations Development in Sexually Abused Children." Thesis, University of North Texas, 1992. https://digital.library.unt.edu/ark:/67531/metadc500770/.
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Sexual abuse of children has profound negative effects on psychological development. This study examined the effects of sexual abuse on object relations functioning by using the Mutuality of Autonomy Scale (MAS, Urist, 1977) to score Rorschach protocols of 63 abused children and 60 non-abused clinical controls. The hypothesis that abused children would have less developed object relations than their non-abused counterparts was not supported. Neither was the hypothesis that children who experienced greater severity of sexual abuse would exhibit more malevolent object relations. The hypothesis that mean and modal MAS scores would be highly intercorrelated and interchangeable as research variables was supported. Comparisons of this sample to a normative sample are discussed.
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Tipton, Paula J. "The impact of psychotherapeutic process groups on God image and object relations development." Theological Research Exchange Network (TREN), 1997. http://www.tren.com.
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Selby, Christine Louise Buntrock. "The Relationship of False Self Behavior to Object Relations, Attachment, and Adjustment." Thesis, University of North Texas, 2000. https://digital.library.unt.edu/ark:/67531/metadc2605/.
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The focus of this investigation is to assess the relationship between false self behavior, object relations and attachment variables, and adjustment. Theory suggests that object relations and attachment are interrelated, and have been independently linked to psychological consequences. Theory also postulates a relationship between false self behavior and object relations theory. Given the interrelatedness of object relations and attachment theory it is possible that false self behavior may also be linked to attachment variables. While the relationship between object relations and false self behavior seems to have been established object relations theory and attachment theory have not been studied in tandem as related to false self behavior. In addition, this investigation will explore the relationship of adjustment variables to attachment and object relations variables. Undergraduate males and females will be solicited for participation, and will be asked to complete self-report questionnaires measuring false self behavior, object relations, attachment, and adjustment. The primary research hypothesis is that less false self behavior will be related to mature object relations, secure attachment, and fewer symptoms.
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Michaelis, Stephen Henry. "A Model of Suicidal Behavior In Latency Age Children Based on Developmental Object Relations Theory." PDXScholar, 1989. https://pdxscholar.library.pdx.edu/open_access_etds/2939.
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This thesis attempts to explicate the manifestation of suicidal behavior in latency age children based on developmental object relations theory. It asserts that the susceptibility to suicidal behavior becomes part of the child's developing ego organization during the first three years of life as the result of deviant or distorted emotional development. These disturbances interfere with the normal internalizing processes of the separation individuation phases, including the development of psychological mechanisms.
To accomplish the purpose of the study, the thesis generally classifies object relations theory within the parameters of developmental psychopathology and specifically classifies it as a component of contemporary psychodynamic theory. Then follows an exposition of the separation individuation process and attendant development of psychological mechanisms in normal and disturbed development. This section concludes by identifying the normally developing child around thirty-six months of age as possessing the capacity to unite disparate self and object images into a single, whole person for appropriate self comfort, self-image formation, and self-esteem regulation through having received primarily gratifying interactions with caregivers. The child with disturbed development lacks this capacity because of the internalization of primarily negative object-images through primarily negative interactions with caregivers. The child lacks trust in itself and in others, tends to perceive itself and others as all-good or all-bad, and experiences hostility and depression.
A definition of latency and a description of this developmental stage follows. Cognitive development marked by secondary thought processes and reliance upon dynamic psychological mechanisms--ego defenses--to sustain a behavioral and emotional equilibrium, rather than a diminution of drives, permit latency to become established. As part of the structure of latency, fantasy serves a defensive and adaptive function by providing an outlet for drive expression and for mastery of situations intrapsychically. Children with disturbances in ego organization have a less established structure of latency than do normal children, that is, they rely to a greater extent on psychological mechanisms characteristic of the separation-individuation phases.
A review of empirical and clinical research of suicidal children encompasses family environment; loss, depression, and hopelessness; cognitive functioning; and defense mechanisms. Suicidal children live in stressful, chaotic families with confused role relationships. Findings regarding the relationships among loss, depression, and hopelessness appear mixed although integrally related. Suicidal children conceive of impersonal death as final while construing personal death as reversible as a defensive maneuver. Suicidal fantasies constitute the precursors to suicidal planning and actions. Suicidal children show impaired ability to devise active coping strategies. They seem to rely excessively on ego defenses considered developmentally appropriate in early stages of development, such as introjection.
A synthesis of theoretical formulations and research findings sets forth the developmental sequence culminating in suicidal behavior. The model depicts a child's developing ego organization predisposed to depression, hostility, and low self-esteem caused by the internalization of a predominance of negative self- and object-images. It portrays susceptibility to suicidal behavior through the incapacity to exercise self-protection under stressful situations because of a reliance upon maladaptive ego defenses. Fantasies to relieve psychic pain as part of latency defenses transform into fantasies of suicide; these presage and allow for planning and, given the failure of ego defenses, suicidal behavior results.
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Black, Amy N. "Objectification or liberation? : bisexual and lesbian women's experiences with physical appearance /." View online ; access limited to URI, 2006. http://0-wwwlib.umi.com.helin.uri.edu/dissertations/fullcit/3239900.
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Fang, Ni-Ni. "From instinct to self : a psychoanalytic exploration into a Fairbairnian understanding of depression through a dialogue with my imaginary Virginia Woolf." Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/23636.
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This thesis explores a psychoanalytic understanding of depression from the perspective of Fairbairn’s object relations theory, something Fairbairn did not himself undertake. Highlighting the historical and political contexts of the development of psychoanalysis in Fairbairn’s time, I underline the marginalization of Fairbairn’s theory, which I attribute primarily to his lifelong endeavour to challenge the orthodoxy of the time: instinct theory. I chart a theoretical trajectory from the instinct theory (Freud, Klein) to object relations theory (Fairbairn), to contextualise my argument for the potential of Fairbairn’s theory. My argument aligns with Rubens’ (1994, 1998) view that an extension of Fairbairn’s theory beyond what Fairbairn himself originally proposed on the subject of depression is not only advantageous but also necessary. The Fairbairnian understanding of depression at the heart of this inquiry is illustrated through my personal engagement with psychoanalytic theory and framed by my subjective experiences and interpretations. Contending that theory requires personal voices to make sense and be relevant, I engage creatively and personally using the method of letter-writing to an imaginary companion - Virginia Woolf. The Virginia Woolf I construct and with whom I engaged in the research process is based on factual information about Virginia Woolf along with her published texts. In this process I blur the boundary between the real Woolf and my imaginary Woolf. Troubling the edge of reality and fantasy, I use the Woolf of my imagination to stage a process of getting to know Woolf personally, working to develop a trusting relationship and engaging her in a conversation about theory. My letters to Virginia Woolf trace an unfolding dialogue in which we tell and hear each other’s most intimate stories, once unthinkable and unsayable. The letters trace the transformation of my own understanding of the nature of depression, and through them I seek to establish a line of theoretical argument about depression running through the claims of Freud and Klein before turning to the Fairbairnian version of object relations theory. In so doing this thesis complicates psychoanalytic knowledge of the nature of depression, and argues that, framed in Fairbairn’s system, depression can be understood as an actively organised psychic manoeuvre to defend against changes to the endopsychic structure. In other words, and as elaborated through the letters constructed in this thesis, I argue that depression can be understood as a defence against the disintegration of a particular sense of self sponsored by internal object relationships.
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Mazaferro, Renata 1972. "Do interdito a "o real como o impossível" = hipótese sobre a transmissão em psicanálise." [s.n.], 2011. http://repositorio.unicamp.br/jspui/handle/REPOSIP/270550.
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Orientador: Cláudia Thereza Guimarães de LemosTese (doutorado) - Universidade Estadual de Campinas, Instituto de Estudos da Linguagem
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Resumo: Parte-se, nesta tese, da fantasia conforme apresentada por Freud através do sonho dos lobos, no caso História de uma neurose infantil (1918[1914]). Segundo Freud, o sonho dos lobos é "ativação" da cena de coito do casal parental. Jamais lembrada, "fantasia fundamental", a cena impossível de simbolizar é "construção da análise". Freud não recua diante do não simbolizável, mas Lacan o nomeia: real. A transmissão em psicanálise é efeito do não simbolizável? O segundo capítulo trata da fantasia como narrativa e da frase da fantasia. Herói de todas as histórias, maciçamente presente na fantasia como narrativa, o "eu" está ausente na frase da fantasia de espancamento. A frase intermediária, não simbolizável - uma construção da análise - permite a reconstrução do "eu". Flagrante da cena de constituição do inconsciente, a frase possibilita uma gramática e a depreensão de uma lógica gramatical da fantasia. Por ser articulação significante, tal qual a narrativa, a frase é considerada um deslocamento de Freud na questão da fantasia. O terceiro capítulo apresenta o passo de Lacan. Com a lógica do fantasma, a frase enquanto estrutura gramatical é considerada para ser implodida. Da frase resta o objeto a, na frase da fantasia de espancamento: o olhar. O objeto a apresenta-se como corpo, mas não "corpo total": não especularizável, o objeto a é queda, aquilo que desgarra ou se afasta do corpo de que depende. A castração possibilita definir a função do objeto a em seu estatuto lógico. Na subjetivação, o sujeito ocupa o lugar do objeto a. A lógica do fantasma inclui o objeto a na lógica do significante. Uma narrativa de caso, forma de transmissão em psicanálise, é apresentada no quarto capítulo. O capítulo final, a passagem de "o impossível é o real" a "o real é o impossível", considera: enquanto o complexo de Édipo se funda no interdito - o impossível de simbolizar, nos termos de Lacan: 'o impossível é o real' - a fórmula "não há relação sexual", axioma lacaniano da castração, se funda em "o real é o impossível". Efeito de estrutura, 'o real como o impossível' faz existir a hipótese desta tese: o não simbolizável, o interdito representado pelo complexo de Édipo - 'o impossível é o real' - funda o campo freudiano e produz a transmissão em psicanálise
Abstract: This thesis is based on fantasy as Freud presented this concept in the dream about the wolves in the clinical case entitled The History of an Infantile Neurosis (1918[1914]). According to Freud, this dream was an "activation" of the scene of intercourse between the Wolf Man's parents. This "fundamental fantasy", this scene, that is never remembered and cannot be symbolized, is a "construction of analysis." Freud never backed down on the idea of non-symbolizable, but Lacan called it "real." Is transmission in psychoanalysis the effect of the non-symbolizable? The second chapter of the thesis discusses the fantasy as narrative and the phrase of the fantasy. The hero of all stories, unmistakably present in the fantasy as narrative, the "I" (or the "ego") is absent from the phrase of the fantasy of being beaten. The intermediate phrase, which is non-symbolizable - it is a construction of analysis - enables the "ego" to be reconstructed. The phrase is an instantaneous glance at the scene of the constitution of the unconscious and enables the existence of a grammar and a detachment from a grammatical logic of the fantasy. As it is a signifying articulation, as is the narrative, a phrase is considered a displacement by Freud in the question of the fantasy. The third chapter presents Lacan's advance. With the logic of the fantasy, the phrase as grammatical structure is considered for implosion. In the phrase of the fantasy of beating only object a remains: the gaze. Object a is seen as body, but not "total body": unspecularizable, object a is fall, something that comes loose from, or moves away from, the body it depends on. Castration makes it possible to define the function of object a in its status in logic. In subjectivation the subject occupies the place of object a. The logic of the fantasy includes object a in the logic of the signifier. The narrative of a case, on a form of transmission in psychoanalysis, is presented in Chapter Four. The last chapter, the passage from "the impossible is the real" to "the real is the impossible," considers that: whereas the Oedipus complex is founded on the interdicted - what cannot be symbolized, in Lacan's terms: 'the impossible is the real' - the formula "there is no sexual relationship," Lacan's axiom for castration - is founded on "the real is the impossible." As the effect of structure, "the real as the impossible" brings the hypothesis of this thesis into existence: the not-symbolizable, the interdicted represented by the Oedipus complex - "the impossible is the real" - founds the Freudian field and produces transmission in psychoanalysis
Doutorado
Linguistica
Doutor em Linguística
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Castelo, Isabel Cristina Machado Bicha. "Calvin e Hobbes ou o limbo das coisas semi-esquecidas: Estudo exploratório da posse dos objectos priveligiados da primeira infância." Master's thesis, Instituto Superior de Psicologia Aplicada, 2001. http://hdl.handle.net/10400.12/421.
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Dissertação de Mestrado em Psicopatologia e Psicologia ClínicaEste trabalho insere-se no âmbito da Teoria das Relações Objectais, abordando directamente o conceito de objecto transicional formulado por Winnicott (1951). Teve como objectivos a contextualização das condições de surgimento e evolução da ligação a um objecto de transição, bem como dos objectos indutores do sono, aparentemente mais precoces. Procurou-ses ainda, caracterizar as fases do desenvolvimento primitivo de crianças que possuem um apego observável a um objecto transicional e de crianças que necessitam de um objecto de adormecimento, contrastando-as com as vivências de crianças que não evidenciam qualquer apego a um objecto específico. Finalmente, avaliaram-se diversos índices de psicopatologia materna, nestes três grupos de crianças. Os sujeitos observados eram alunos de creche e jardim de infância, pertencentes à faixa etária entre os 12 e os 42 meses. Para alcançar os objectivos pretendidos, utilizou-se um questionário de desenvolvimento e três instrumentos de auto-avaliação de sintomas psicopatológicos gerais, depressão e ansiedade. Os resultados mostraram que os objectos de adormecimento são mais precoces que o objecto transicional, cujo apego só se reflectiu no comportamento infantil, após o primeiro aniversário. A análise dos dados de desenvolvimento evidenciou uma tendência para que as crianças sem apego observável a um objecto de transição ou de adormecimento se mantenham ainda muito próximas da figura materna, preservando-se as características iniciais da relação precoce mãe-filho, por um período mais prolongado. Por fim, salientou-se uma tendência para que estas mães apresentem índices mais elevados de sintomatologia psicopatológica, comparativamente com as dos restantes grupos.
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Stenlöv, Camilla. "Beloved as a Good Object : A Kleinian Reading of Toni Morrison's Beloved." Thesis, Högskolan i Halmstad, Sektionen för humaniora (HUM), 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-17673.
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The text of Beloved will be analyzed with a Kleinian and Freudian approach in order to show how the characters see each other as good or bad objects. This essay begins with an explanation of terms and a short presentation of psychoanalysis and object relations theory. Thereafter, each main character and their relation to Beloved will be examined and discussed as well as their relation to each other.
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Thode, Rick D. (Rick Davis). "Object Representations of Sexually and Multiply Abused Females: A TAT Analysis." Thesis, University of North Texas, 1994. https://digital.library.unt.edu/ark:/67531/metadc278277/.
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Object representations of sexually abused girls were compared to those of a clinical control group with no history of maltreatment. In addition, girls subjected to sexual abuse by itself were compared with girls who were sexually abused in conjunction with physical abuse and/or neglect (i.e., multiply abused). TAT stories were analyzed using the Object Relations and Social Cognition Scale which assesses four dimensions of object relations. It was hypothesized that sexually abused children would manifest more general and highly pathognomic impairment than controls along four dimensions of object relations. It was also hypothesized that multiple abuse would be associated with more general and highly pathognomic impairment in object relations than sexual abuse by itself.
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Pavanelli, Camila Lousana. "A teoria como objeto interno do analista e seus destinos na clínica : luto e melancolia como metáfora." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/47/47132/tde-14012008-162059/.
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As relações que se estabelecem entre teorias e práticas na clínica psicanalítica não costumam ser abordadas explicitamente nos escritos teóricos de psicanalistas; necessariamente, porém, elas subjazem às suas práticas e discursos. O presente trabalho propõe-se a investigar a complexidade inerente a essas relações, que a nosso ver não se restringem a uma concepção bidirecional e causal. Para tanto, recorremos a conceitos da epistemologia e, fundamentalmente, da própria psicanálise. O texto \"Uma nova leitura das origens da teoria das relações de objeto\" de Ogden permitiu-nos pensar as teorias como objetos passíveis de sofrerem investimentos libidinais: uma vez perdidas, exigirão do analista um trabalho de luto. Consideramos que essa perda ocorre quando a teoria deixa de responder às exigências da clínica, isto é, quando deixa de amparar o analista em seu contato com os pacientes. Luto e melancolia, assim, serviram-nos como metáfora para investigar os modos pelos quais as teorias se fazem presentes no analista e, conseqüentemente, na clínica, pois engendram objetos internos distintos. Se o analista faz o luto da teoria, ela é incorporada a seu conhecimento subsidiário, provendo as bases para um encontro traumático com os pacientes e com novas teorias. Se, por outro lado, esse luto não pode ser elaborado, a teoria fica então cristalizada no conhecimento subsidiário do analista, impedindo a clínica de irromper em sua dimensão traumática de alteridade.Relationships established between theories and practices in the psychoanalytic clinical situation are not usually explicitly examined in the theoretical writings of psychoanalysts; such relationships, however, are necessarily implicit to their practices and discourses. The present work intends to investigate the complexities inherent to these relationships, which in our view are not limited to a causal and bidirectional conception. In order to do so, we have referred to concepts from epistemology and, most fundamentally, psychoanalysis itself. Ogden\'s \"A new reading of the origins of object relations theory\" has allowed us the consideration of theories as objects liable to receive libidinal cathexes, so that once they are lost, they will need to be mourned by the analyst. Such a loss occurs once the theory stops responding to clinical demands, that is, once it stops supporting the analyst in his contact with patients. Mourning and melancholia have thus served us as a metaphor to investigate the ways in which theories become present in the analyst and, consequently, in the clinical situation, for they engender different internal objects. If the analyst mourns the loss of the theory, it gets incorporated into his subsidiary knowledge, providing thus the bases for traumatic encounters with patients and new theories. If, on the other hand, the analyst cannot mourn, the theory gets then rigidly fixed into the analyst\'s subsidiary knowledge, therefore preventing the clinical situation to come forward in its full traumatic otherness.
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Cox, Randall J. (Randall Judd). "Violent and Nonviolent Juvenile Offenders : An Assessment of Differences in Object Relations Functioning Using the Thematic Apperception Test." Thesis, University of North Texas, 1994. https://digital.library.unt.edu/ark:/67531/metadc278881/.
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TAT stories and demographic information of 30 violent and 30 nonviolent juvenile delinquents were obtained. Institutional assessment records at Dallas County Juvenile Department (DCJD) served as the data base for this study. TAT stories and demographic information of 30 violent and 30 nonviolent juvenile delinquents were obtained. Institutional assessment records at Dallas County Juvenile Department (DCJD) served as the data base for this study. Differences with respect to object relations functioning between juveniles charged with two categories of index offenses: property offenses and aggravated assault were examined. Object relations were assessed utilizing a scoring system designed for use with the Thematic Apperception Test (TAT). The scoring system encompasses a psychoanalytic perspective and consists of four dimensions representing separate but interrelated aspects of object relations. It was hypothesized that juvenile delinquents who commit violent crimes would exhibit lower object relations functioning as compared to juvenile delinquents who commit nonviolent crimes.
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Callahan, Theresa A. (Theresa Ann). "Violent and Nonviolent Juvenile Offenders: An Assessment of Differences in Impulse, Ego Structure, and Object Relations Using the Psychoanalytic Rorschach Profile." Thesis, University of North Texas, 1993. https://digital.library.unt.edu/ark:/67531/metadc278571/.
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Kanakis, Deirdre M. "Father caring and separation-individuation problems : associations with female heterosexual behaviors /." free to MU campus, to others for purchase, 1996. http://wwwlib.umi.com/cr/mo/fullcit?p9737880.
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Lopo, Teresa M. D. "Laços afectivos maternos na alergia alimentar." Master's thesis, Instituto Superior de Psicologia Aplicada, 2002. http://hdl.handle.net/10400.12/614.
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Dissertação de Mestrado em PsicossomáticaO trabalho consiste num estudo exploratório sobre o funcionamento psicológico de mães de rapazes alérgicos alimentares. Pretendeu-se evidenciar um padrão comum relativamente ao tipo de laços afectivos, emocionais e de vinculação que estabeleceram durante a infância e adolescência, com a família e actualmente com os pares e o respectivo filho alérgico. As seis mães que fazem parte desta amostra vivem com o marido e filhos. Todas tiveram ou têm algumas manifestações de tipo alérgico. A bateria de instrumentos utilizada para estudar as relações afectivas interpessoais que as pessoas aprendem e usam normalmente desde o nascimento e durante o ciclo de vida, foi a mesma que a Professora Doutora Cristina Canavarro usou na sua Dissertação de Doutoramento à Faculdade de Psicologia de Coimbra em 1977. Consistiu a) numa Escala de Memórias de Infância sobre Estilos Educativos Parentais, EMBU, b) numa prova semi-projectiva de Desenhos de Círculos Representativos da Proximidade Emocional estabelecida com os pais, em separado, ao longo de várias fases do ciclo de vida, DCRF, c) numa Escala de Vinculação do Adulto, EVA e d) num Inventário de Sintomas Psicopatológicos, BSI. No DCRF deste estudo, introduz-se mais um item representativo da Proximidade Emocional estabelecida entre cada mãe e o seu filho, durante o desenvolvimento deste. A hipótese de se evidenciar um padrão comum relativamente ao tipo de laços afectivos emocionais e de vinculação, diferente do obtido na população portuguesa por Canavarro (1999), foi apoiada pelos resultados que permitem a verificação de: laços de Sobreprotecção em relação à educação recebida de ambos os pais ausência de laços de Proximidade Emocional com o seu próprio pai nas fases do nascimento, da infância, da pré-adolescência e actualmente laços de grande Proximidade Emocional em relação à sua própria mãe, principalmente nas fases do nascimento, da escolaridade, da pré-adolescência, da adolescência e actualmente laços de grande Proximidade Emocional com o seu filho alérgico laços de Vinculação com o adulto de tipo Evitante sintomas de perturbação emocional como: Somatização, Obsessão-compulsão, Sensibilidade Interpessoal, Depressão, Ansiedade, Hostilidade e psicoticismo. A hipótese não foi confirmada em aspectos como: as mães não sentiram Rejeição nem falta de Suporte Emocional no estilo Educativo Parental não apresentam sintomas psicopatológicos de Ansiedade Fóbica e Ideação Paranóide apresentam laços de grande Proximidade Emocional actualmente com ambos os pais. Como conclusão, as mães apresentam um funcionamento psicológico do ego muito próximo de um funcionamento defeituoso, cujas bases biológicas aparentemente não se revelam. Algumas raizes dos modelos de comportamento materno podem influenciar a modulação do Sistema Nervoso Central do seu filho que, a par da informação genética, se vai completando, desde o nascimento, através de um papel materno fundamental no processo da Regulação da memória, da emoção, das relações interpessoais como a vinculaçãO, do sistema nervoso autónomo e do sistema imunitário. Se a sensibilidade materna definida como a capacidade, habilidade e desejo de perceber a comunicação emocional do filho, como o reflexo no seu comportamento, expressão emocional e vocalizações, observa e os interpreta do ponto de vista da criança e lhes responde adequada e prontamente de acordo com o desenvolvimento e necessidades do filho, não estiver presente, pode inibir ou deformar o desenvolvimento da auto-regulação da criança, o que pode predispor ao adoecer infantil.
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Bruteig, Rune. "Who's afraid of the Fenris-wolf? : projections of a skin self and Nordic mythographic filmmaking (a feminist and psychoanalytical introspective)." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23208.
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Chapter One of this thesis looks at psychoanalytical object relations theory dealing with early childhood, with an aim to outline the shift that has taken place within critical thinking on personal development--from an emphasis on oedipal relations to the auspicious re-exploration of pre-oedipal states. Here the main theme derives from the paradoxical nature of the human skin, whose fluid sensory and communicative qualities profoundly shape our psychological functioning, and thus ultimately our creation of (gendered) knowledge in all its forms.Chapter Two seeks to establish some of the possible socio-political implications of a recovered pre-oedipal sensibility, by way of situating the place of the personal within critical discourse--the cross-fertilization of critical theory and self-critical artistic discourses. Using the specific example of film, my central conceit consists in drawing a parallel between the skin and the filmic screen as both being simultaneously introjective and projective liminal membranes.
Chapter Three is a case study of sorts, one which traces the manifestations of a liminal subjectivity during a critical phase in the history of my native Nordic culture--the period of transition between pagan and Christian society. Its spirit is then shown to be alive and well within the ensemble films of Ingmar Bergman, whose work has come to stand as something of an archetype of the Nordic film form.
The second section, PRAXIS, appropriately provides this project's own creative component, a sketch of a film scenario that I hope to one day be able to liberate from the stasis of the written page and project into the uncertain spaces of a theater screen.
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Sapp, Katherine Suzanne. "Mythesis.com the irony of technology : an object relational approach to understanding the interplay of identity construction and the emergence of the "true self" through the privilege of anonymity on the Internet : a project based upon an independent investigation /." Click here for text online. Smith College School for Social Work website, 2007. http://hdl.handle.net/10090/1011.
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Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2007Thesis submitted in partial fulfillment for the degree of Master of Social Work. Includes bibliographical references (leaves 100-102).
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Shortell, Laurel Lynn. "The healthy solitary person : a project based on an independent investigation /." View online, 2008. http://hdl.handle.net/10090/5926.
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Araujo, Teo Weingrill. "Nas brechas do sistema: uma leitura da obra do psicanalista Ronald Fairbairn." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/47/47132/tde-07012015-093758/.
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O personagem principal da presente tese é William Ronald Dodds Fairbairn, psicanalista escocês que viveu entre 1889 e 1965 em Edimburgo, na Escócia e dedicou toda uma vida a mapear as repercussões das experiências traumáticas precoces no processo de constituição da estrutura psíquica. Fairbairn fez parte, junto com Winnicott, Balint e alguns outros, do que viria a ser conhecido dentro da tradição da psicanálise inglesa como Middle Group, ao mesmo tempo em que foi muito influenciado pelo pensamento kleiniano. Por ser alguém que vivia a milhas de distância dos principais centros de formação psicanalítica, produzia sua obra em relativo isolamento, proclamava-se como alguém que tornou superado o modelo teórico proposto por Freud e mesmo assim, continuava sendo reconhecido como psicanalista pelas instituições oficiais, Fairbairn ocupava um lugar único na cena psicanalítica da época. Na presente tese, buscamos dar o destaque devido para os singulares e refrescantes sentidos que Fairbairn confere à dimensão das forças libidinais, ao afirmar que o movimento primordial do humano não visaria o alivio das tensões, como propusera Freud, mas o estabelecimento de ligações amorosas com os objetos. Além disso, discutimos o modelo de mente proposto por Fairbairn, que incorpora em sua própria estrutura uma concepção do desenvolvimento inicial primitivo que não é encontrada nos escritos de nenhum dos principais teóricos da psicanálise do século XX (Ogden, 2010). Ao mesmo tempo em que damos o devido destaque para as grandes contribuições do autor à tradição psicanalítica, também nos propomos a garimpar as construções mais inacabadas dele sobre os processos intersubjetivos, que são muito pouco conhecidas, mas nem por isso são menos relevantes ou menos férteis. A partir disso, defendemos que o autor trouxe para a psicanálise, de modo rudimentar, contribuições originais sobre a brincadeira e a arte. Também se permitiu recriar o setting psicanalítico de modo a adaptá-lo às necessidades emocionais de seus pacientes. Lançou novas luzes para a discussão sobre a experiência de perda e o sentimento de culpa. Propôs, a partir de sua experiência pessoal, um novo modo de compreender a repercussão das experiências traumáticas na relação do sujeito com o seu corpo. A nosso ver, ao enfatizarmos as construções mais rudimentares da obra de Fairbairn, que surgem nas brechas do grande sistema teórico que ele estava construindo, o nosso esforço é de criar um autor muito menos sólido do que ele se pretendia, muito menos consolidado. Esse trabalho de criar um autor nos exigirá um esforço detido de leitura de todo e qualquer texto de Fairbairn, principalmente daqueles que pareçam menos relevantes, de modo que a nossa tarefa será a de criar um autor que, paradoxalmente, sempre esteve lá, a espera de ser criadoThe main character of this work is William Ronald Dodds Fairbairn, a psychoanalyst who lived between 1889 and 1965 in Edinburgh, Scotland and who devoted a lifetime to describe the impact of early traumatic experiences in the formation process of the psychic structure. Together with Winnicott and Balint, Fairbairn was a member of what would be known as the Middle Group in the British psychoanalytic tradition. At the same time, he was influenced by Kleins ideas. Fairbairn occupied a unique place in the psychoanalytic scene because he was someone who lived miles away from his colleagues, who produced his work in relative isolation, who used to proclaim himself as the one who surpassed Freud and, despite all this, he was still recognized as a psychoanalyst by the official institutions. Throughout the present work, we highlight the unique and refreshing meaning proposed by the author to the libido forces, according to which the primary human intention is not to seek relief from tension, as proposed by Freud, but to establish affectionate bonds with objects. Beside this, we discuss the model of the mind proposed by Fairbairn, which incorporates into its very structure a conceptualization of early psychic development that is not found in the writings of any other major 20th century psychoanalytic theorist (Ogden, 2010). Inasmuch as we intend to shed light on the great contributions of the author to the psychoanalytic tradition, we endeavor to research his unfinished and very unknown constructions about the intersubjective processes, which are equally relevant and fertile. From this, we argue that the author brought to psychoanalysis original contributions to playing and arts. He also recreated the psychoanalytic setting in order to adapt it to his patients emotional needs. He cast new light on the discussion about the experiences of loss and guilt. He proposed a new way of understanding the impact of traumatic experiences on the subject\'s relation to his body. In our view, by emphasizing the most rudimentary constructions of Fairbairn´s work that arise in the gaps of the great theoretical system he was building, our effort is to create an author less solid and consolidated than he intended to be. This work of creating an author will require from us an effort of reading carefully all of Fairbairn´s texts, especially those that seem less relevant, so our task will be to create an author who has always been there, waiting to be created
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Tamagnini, Elisabete Joyce Galhardo. "A psicodinâmica do paciente cardiopata: contribuições da psicanálise à cardiologia." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/47/47133/tde-27112014-163132/.
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Doenças cardiovasculares representam a principal causa de morte no mundo. É legítima a associação existente entre doenças cardiovasculares e eventos emocionais. Processos psíquicos podem ser desencadeados na DCV, provocando evolução desfavorável tanto dos sintomas afetivos quanto da doença clínica: promovem menor aderência às orientações terapêuticas e aumentam índices de morbi-mortalidade. Pacientes portadores de insuficiência cardíaca (IC) avançada, Classe Funcional (CF) III ou IV (NYHA) com sintomas graves, sem alternativa para tratamento clínico e com pior prognóstico são indicados ao transplante cardíaco (TC). A presente pesquisa teve como objetivo principal investigar a dinâmica psíquica envolvida nos diferentes estágios de DCV (especialmente de IC), identificando as particularidades psicodinâmicas encontradas em relação a pacientes que não apresentaram evidência da doença e avaliando a natureza das relações objetais e das fantasias inconscientes nas diferentes classes funcionais (NYHA). Método: estudo clínico, qualitativo, com delineamento observacional. Participantes: N=40, subdivididos em grupos: A) DCV não evidente / B) CF I ou II / C) CF III ou IV não - indicados ao TC / D) CF III ou IV indicados ao TC. Instrumentos: 1 entrevista clínica e Escala de Avaliação Global do Funcionamento AGF / DSM IV; 2 Teste de Relações Objetais de Phillipson TRO. Lâminas: A1(1), B3(4), AG(5), BG(10), C2(11) e Branca(13). Procedimento: amostra por conveniência e aplicação dos instrumentos individualmente. A teoria psicanalítica das relações objetais de Melanie Klein orientou o desenvolvimento do estudo e serviu de base para a análise do material. Resultados: fantasias inconscientes e processos psíquicos arcaicos podem ser encontrados em todos os estágios da DCV, porém, os grupos mais avançados de DCV, apresentaram aspectos psicossomáticos expressivos, relações objetais e fantasias inconscientes provenientes das fases arcaicas do desenvolvimento, esquizoparanóide e viscocárica. No grupo D, a frequência de relações de objeto da fase viscocárica foi mais expressiva, além de evidenciarem fantasias inconscientes específicas ligadas ao TC, como fantasias de mutilação. A avaliação psicanalítica foi fundamental para a compreensão da psicodinâmica do paciente cardiopata e identificou os FR psicossociais envolvidos no processo saúde doença, sugerindo atenção especial da equipe multidisciplinar e instauração imediata de psicoterapia para determinados grupos. A intervenção psicanalítica visa redução dos sintomas e promoção de saúde mental / psíquica: preserva o autocuidado, estimula o cumprimento das orientações de equipe e de protocolo, reforça a adesão ao tratamento. O controle dos FR observados pode determinar um prognóstico favorável quando considerado no tratamento dos pacientes cardiopatasCardiovascular diseases are the leading cause death worldwide. There is a clear association between cardiovascular disease and emotional events. Psychic processes can happen in CVD, causing unfavorable evolution of affective symptoms and clinical disease: resulting in lower adherence to medical guidelines and higher rates of morbidity and mortality. Patients with advanced heart failure (HF), in NYHA functional class III or IV with severe symptoms, no alternative to clinical treatment and a worse prognosis are listed for heart transplantation (HT). The main objective was investigate the psychodynamics at different stages of CVD (mainly in HF), identifying the psychodynamic characteristics found in relation to patients without evidence of disease and assessing the nature of object relations and unconscious fantasies in different functional classes (NYHA). Method: Clinical, qualitative and observational study design. Participants: N = 40, in groups: A) patients without cardiovascular disease / B) functional class I or II / C) functional class III or IV not listed for HT / functional class III or IV with indications for HT. Instruments: 1 clinical interview and assessment of global functioning / GAF DSM IV, 2 Object Relations Test (ORT) by Phillipson - A1(1), B3(4), AG(5), BG(10), C2(11), White (13). Procedure: convenience sample and individual application. The object relations theory of Melanie Klein guided the development of the study and analysis of the material. Results: unconscious fantasies and psychic processes archaic can be found in all stages of CVD, however, the most advanced CVD groups showed significant psychosomatic aspects, object relations and unconscious fantasies from very archaic development phases._ In group D, the frequency of object relations of viscumcarica position was more expressive and showed specific unconscious fantasies in relation to HT, as the fantasies of mutilation._ The psychoanalytic review was essential to understanding the cardiac patients psychodynamics and identified psychosocial risk factors (RF) involved in the health - disease process, suggesting special attention of the multidisciplinary team and immediate psychotherapy for some groups. Psychoanalytic intervention reduces symptoms and promotes mental health: improves self-care, execution of team guidelines and protocol and treatment adherence. The control some risk factors can determine a favorable prognosis when considered in the treatment of cardiac patients
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Williamson, Peter Burnett. "The social construction of illiteracy: a study of the construction of illiteracy within schooling and methods to overcome it." Thesis, The University of Sydney, 2001. http://hdl.handle.net/2123/494.
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Pre-literate children experience written text as a meaningless material object, the word-object, but the compulsory and institutional aspects of reading pedagogy make this an experience from which they cannot escape. Some children begin to associate their own negative experiental sense with the word-object before they are able to learn to read. As reading pedagogy continues, these children begin to read back experiental sense which prevents them from converting the word-object to meaningful text. Experiental sense is repressed because it is psychically painful. It retains qualities of phenomena repressed from childhood: it is active and intractable to reason. The result is an intractable illiteracy which may be interpreted as biologically based �dyslexia.� Further attempts at reading pedagogy in childhood and adulthood generally result in reproduction of the inability because this pedagogy requires learners to attempt to read linguistically which elicits experiental sense. As these children become adults, their avoidance of reading sometimes structures their social relations to accommodate and compound their problems. The method to overcome the problem replaces experiental sense with positive feelings about written language. The power of language to denote emotions of pleasure and affirmation from learners� lives is used. These emotions are enhanced through a technique of affirmative intersubjectivity. Short spoken affirmative texts are made by learners, tape recorded and reproduced as written texts by the literacy worker. Through allowing learners control and autonomy over their spoken and written texts, the positive emotions in them are associated by learners with the written texts. Exercises on the affirmative written texts are used to demonstrate regularities about written language. Learners then progress to reading suitable independent texts and other activities. There are suggestions about how to enhance learners� feelings as competent readers and writers. The thesis uses a methodology of action research and includes five case studies of adults with literacy problems. Concepts from social theory, psychoanalysis and object relations theory are used and adapted to understand written language, schooling and illiteracy.
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Williamson, Peter Burnett. "The social construction of illiteracy a study of the construction of illiteracy within schooling and methods to overcome it /." University of Sydney. Social Policy and Curriculum Studies, 2001. http://hdl.handle.net/2123/494.
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Pre-literate children experience written text as a meaningless material object, the word-object, but the compulsory and institutional aspects of reading pedagogy make this an experience from which they cannot escape. Some children begin to associate their own negative experiental sense with the word-object before they are able to learn to read. As reading pedagogy continues, these children begin to read back experiental sense which prevents them from converting the word-object to meaningful text. Experiental sense is repressed because it is psychically painful. It retains qualities of phenomena repressed from childhood: it is active and intractable to reason. The result is an intractable illiteracy which may be interpreted as biologically based �dyslexia.� Further attempts at reading pedagogy in childhood and adulthood generally result in reproduction of the inability because this pedagogy requires learners to attempt to read linguistically which elicits experiental sense. As these children become adults, their avoidance of reading sometimes structures their social relations to accommodate and compound their problems. The method to overcome the problem replaces experiental sense with positive feelings about written language. The power of language to denote emotions of pleasure and affirmation from learners� lives is used. These emotions are enhanced through a technique of affirmative intersubjectivity. Short spoken affirmative texts are made by learners, tape recorded and reproduced as written texts by the literacy worker. Through allowing learners control and autonomy over their spoken and written texts, the positive emotions in them are associated by learners with the written texts. Exercises on the affirmative written texts are used to demonstrate regularities about written language. Learners then progress to reading suitable independent texts and other activities. There are suggestions about how to enhance learners� feelings as competent readers and writers. The thesis uses a methodology of action research and includes five case studies of adults with literacy problems. Concepts from social theory, psychoanalysis and object relations theory are used and adapted to understand written language, schooling and illiteracy.
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Heleno, Maria Geralda Viana. "Organizações Patológicas e Equilíbrio Psíquico em Pacientes Diabéticos Tipo 2." Universidade de São Paulo, 2000. http://www.teses.usp.br/teses/disponiveis/47/47133/tde-20012011-111355/.
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Através da prática clínica, notamos em alguns pacientes diabéticos uma resistência paralisadora crônica que impede o tratamento. Eles parecem não se darem conta do que se passa com eles e vivem como se o não tratamento fosse algo bom. Sentem-se protegidos e têm a convicção de que nada irá acontecer-lhes. Eles garantem que não sentem nada, nenhum sinal de complicação aguda ou crônica. Pensamos que esta proteção perversa pode ser compreendida a partir do estudo das organizações patológicas. Elas oferecem grande resistência a mudanças e a experiências de dependência de objeto. Os objetivos desta pesquisa foram: (1) avaliar o grau de eficácia adaptativa e os episódios de crise; (2) avaliar a dinâmica emocional e o equilíbrio adaptativo do ego, visando a compreensão do sistema tensional inconsciente principal, que pode identificar, ou não, a presença das organizações patológicas; (3) correlacionar o grau de eficácia adaptativa com a presença ou não das organizações patológicas; (4) correlacionar o grau de equilíbrio adaptativo do ego com a intensidade da ação das organizações patológicas e (5) correlacionar a qualidade do controle glicêmico com a presença ou não das organizações patológicas. Os instrumentos utilizados foram a Escala Diagnóstica Adaptativa Operacionalizada - EDAO e O Teste das Relações Objetais de Phillipson - TRO. O controle da glicemia foi determinado através de exames de laboratório. Foram sujeitos desta pesquisa 30 pacientes diabéticos do tipo 2, amostra representativa e imparcial de uma população de 113 pacientes diabéticos atendidos no primeiro semestre de 1999 na Liga dos estudantes para o atendimento do pacientes diabético - LIGA, do Centro de Diabetes da Universidade Federal de São Paulo - UNIFESP. Os sujeitos, de ambos os sexos, tinham idade entre 44 e 62 anos e foram divididos em dois grupos. O grupo I era formado por 15 pacientes com bom controle glicêmico e o grupo II, por 15 pacientes com mau controle. Os dois grupos foram controlados por seis meses, durante os quais as recomendações da Sociedade Brasileira de Diabetes - SBD(1999) foram utilizadas para determinar a qualidade do controle glicêmico. A partir deste critério os grupos foram definidos. Os pacientes com glicose plasmática de jejum (GJ) < 126 mg/dl e Glicose Casual (GC) < 200 mg/dl foram considerados de bom controle e formaram o Grupo I. Acima ou igual a estes valores, Grupo II, de mau controle. Os resultados mostraram que existe forte correlação entre a eficácia adaptativa e o equilíbrio interno do ego com a qualidade do controle glicêmico. Assim, quanto melhor o nível da adaptação, melhor o controle glicêmico. Da mesma forma, quando as relações de objeto tendem à adaptação ou são positivas, melhor o controle glicêmico. Quanto à presença das organizações patológicas, a análise através da EDAO e do TRO mostrou que no Grupo I, de bom controle, não foi observada a presença destas organizações. Estes pacientes apresentavam respostas que, cumulativamente, geravam a melhora ou manutenção da eficácia adaptativa. O equilíbrio do mundo interno gerava a possibilidade de adaptação às situações. No Grupo II, de mau controle, pôde-se observar a presença e a intensidade das organizações patológicas. Estes pacientes apresentavam respostas que impediam qualquer tipo de progresso, reduzindo de forma significativa a eficácia adaptativa. No TRO, da mesma forma, observou-se no Grupo II a imobilização ou paralisação frente às situações, fenômeno característico das organizações patológicas.We observed, through clinical practice, that some diabetes patients presented a chronic paralyzing resistance which blocks treatment. They do not seem to realize what is going on with them and live as if the treatment were not a beneficial thing. They feel protected and are sure that nothing will happen to them. They assure that they do not feel anything, any signs of either acute or chronic complications. We think that such wicked protection can be understood from the study of the pathological organizations. These organizations offer great resistance to changes and object-dependant experiences. The purposes of this study were: (1) to assess the level of adaptive effectiveness and the crisis episodes; (2) assess the emotional dynamics and the adaptive balance of the ego, aiming at understanding the main unconscious stressing system, which might identify the presence or absence of pathological organizations; (3) to correlate the level of adaptive effectiveness with the presence or absence of pathological organizations; (4) to correlate the level of adaptive balance of the ego with the intensity of action of the pathological organizations; and (5) to correlate the quality of the control of glycemia with the presence or absence of pathological organizations. The instruments used were the Adaptive Operational Diagnostic Scale (Escala Diagnóstica Adaptativa Operacionalizada EDAO) and the Phillipson Object Relations Test (Teste das Relações Objetais de Phillipson TRO). The control of glycemia was determined by laboratory tests. Along this study, 30 Type II diabetes patients were observed, which represents a significant and impartial sample from a population of 113 diabetes patients treated during the first half of 1999 at the Students league for the treatment of diabetes patients (LIGA), from the Diabetes Center of Universidade Federal de São Paulo - UNIFESP. The patients, from both genders, were aged from 44 to 62 and were divided into two groups. Group I had 15 patients with a good control of glycemia whereas Group II had 15 patients with a bad one. Both groups were controlled for six months, along which they applied the recommendations from the Brazilian Society for Diabetes (Sociedade Brasileira de Diabetes SBD - 1999) in order to determine the quality of the control of glycemia. From this criterion the groups were defined. Patients with Plasmatic Fast Glucose (GJ) < 126 mg/dl and Casual Glucose (GC) < 200 mg/dl were considered as having a good control and so they were part of Group I. Figures above or equal to these values were included in Group II, as having a bad control. The results showed that there is a strong correlation between the adaptive effectiveness and the internal balance of the ego with the quality of the control of glycemia. Therefore, the higher the level of adaptation, the better the control of glycemia. Likewise, whenever the object relations either tend to adaptation or are positive, the better the control of glycemia. As for the presence of pathological organizations, the analysis through EDAO and TRO showed that in Group I, with a good control, such organizations were not observed. These patients presented responses which, on a cumulative basis, generated either the improvement or maintenance of the adaptive effectiveness. The balance of the inner world generated the possibility of adaptation to situations. In Group II, with a bad control, we observed the presence and intensity of pathological organizations. These patients presented responses that blocked any type of progress, thus significantly the adaptive effectiveness. In TRO, likewise, we observed that in Group II the immobilization or paralysis before situations, which is a typical phenomenon of pathological organizations.
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Esparza, Jana Scoville. "Validating the Rorschach Defense Scale by Examining Defensive Functioning in College Students." Thesis, North Texas State University, 1988. https://digital.library.unt.edu/ark:/67531/metadc501158/.
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This study attempted to provide validation for Lerner and Lerner's Rorschach Defense Scale by investigating the relationship between primitive defenses as measured by the Rorschach Defense Scale, level of object relations as measured by the Developmental Analysis of the Concept of the Object Scale, and characteristic defensive operations as assessed by the Minnesota Multiphasic Personality Inventory. One hundred and twenty undergraduates completed the Rorschach and MMPI, and the RDS and DACOS were applied to their Rorschach responses. The results show a significant positive correlation between use of primitive defenses and level of object relations development -and a significant negative correlation between the defense Projective Identification and MMPI scale 6 (Paranoia) elevation. Overall, these results did not support the validity of the RDS.
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Granato, Tania Mara Marques. "Encontros terapêuticos com gestantes à luz da preocupação materna primária." Universidade de São Paulo, 2000. http://www.teses.usp.br/teses/disponiveis/47/47133/tde-10112005-162658/.
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Considerando que a construção do conhecimento em Psicologia Clínica exige, desde o início, a integração de uma postura investigativa com a possibilidade de se fazer presente no encontro com o outro, fiz uso do conceito winnicottiano de Preocupação Materna Primária como farol que orienta o psicólogo em sua aproximação das vivências emocionais da mulher durante a gestação e o pós-parto. No fazer do pesquisador presentificou-se o fazer terapêutico, a partir dos dados surgiram as hipóteses e as diversas modalidades de trabalho: entrevistas, cartas, telefonemas e visitas. O campo da maternidade mostrou-se fertilíssimo exigindo, porém, algumas ferramentas básicas para que fosse fecundado, tais como: flexibilidade no atendimento às demandas, acolhimento de toda sorte de angústias, humildade diante da própria ignorância, preocupação autêntica pela paciente e respeito por sua forma de ser.Considering that the construction of knowledge in Clinical Psychology requires from the beginning the integration of an investigative posture with the possibility of being present before the other, I made use of the winnicottian concept of Primary Maternal Preoccupation like a lighthouse that guides the psychologist in her approach to the womans emotional experiences during pregnancy and postpartum. During the researcher task I encountered therapeutic alternatives. Hypothesis and working modalities came out from the data: interviews, letters, phone calls and home visits. The field of maternity presented itself extremely fertile, requiring though some basic tools in order to be fecundated, such as: flexibility to meet needs, holding all sorts of agonies, humility before of our own ignorance, true preoccupation with the patient and respect for her being.
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Martão, Maria Izilda Soares. "Filhos autistas e seus pais: um estudo compreensivo." Universidade de São Paulo, 2002. http://www.teses.usp.br/teses/disponiveis/47/47133/tde-06122006-163721/.
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Este trabalho consistiu na investigação das possíveis implicações entre a dinâmica do casal e a relação com o filho autista e as dificuldades que os pais apresentam para estabelecer parceria com o terapeuta, colaborando assim com o processo terapêutico e com o desenvolvimento do filho. Realizamos Diagnósticos Compreensivos (Trinca, 1983), visando a um conhecimento dos aspectos psicodinâmicos dos casais e da relação destes com o filho autista. A base teórica que fundamenta o estudo é a psicanálise e as teorias psicodinâmicas juntamente com nossa experiência clínica. Utilizamos dois instrumentos: entrevista semidirigida e o procedimento de Desenhos de Família com Estórias (Trinca, 1978). A pesquisa foi realizada nas dependências de uma Instituição Pública, especializada no atendimento de crianças autistas, situada na grande São Paulo. Contamos ainda para a realização deste, com a participação voluntária, de cinco casais de pais de filhos autistas, os quais prestaram enorme contribuição ao nosso estudo. Os resultados obtidos após levantamentos dos dados foram: - os pais vivenciaram conflitos emocionais, instabilidades ambientais, humilhações afetivas em suas famílias de origem. - os conflitos emocionais originaram relações de objetos deficitárias, frágeis e conturbadas. - as dificuldades emocionais vivenciadas serviram como percalços ao desenvolvimento emocional destes pais e impediram qualquer possibilidade de interação com o filho autista. - algumas reações das crianças autistas, utilizadas como forma de contato com os pais estão relacionadas ao foco do conflito da dinâmica dos pais. - as dificuldades emocionais dos pais influenciam o desenvolvimento do filho autista, uma vez que aqueles encontram-se impossibilitados para um contato vivo e humano. Concluímos que os pais por nós estudados apresentam intenso sofrimento por manifestarem importantes dificuldades emocionais, necessitando serem cuidados, tanto quanto seus filhos autistas.This work was the investigation of possible implications between a couple dynamics and the relationship with their autistic child and the difficulties the parents have to establish a partnership with the therapist, thus helping the therapeutic process and the development of their child. Comprehensive Diagnosis were done (Trinca, 1983), with the aim of getting to know the psycodynamic aspects of the couples and their relationship with their autistic child. The theoretical base of the study is the psychoanalysis and the psycodynamic theories together with the clinical experience. Two methods were used: semi-directed interview and the procedure of Family Drawing with Stories (Trinca, 1978). The research was done in a Public Institution, specialized in treating autistic children, located in the city of São Paulo. There was also the voluntary participation of five couples, parents of autistic children, which meant na enormous contribution to the study. The results obtained after the data gathering were: - the parents lived emotional conflicts, environmental instabilities, and affective humiliation in their families of origin. - the emotional conflicts originated handicapped object relations, they were fragile and disturbed. - the emocional difficulties lived were obstacles to the emotional development of these parents and made impossible any kind of interaction with the autistic child. - some reactions of the autistic children, used as a way of trying to establish contact with their parents are related to the focus of the conflict of the parents dynamics. - the parentsemotional difficulties reflect in the development of the autistic child, due to the fact that the parents do not provide a live and human contact. We concluded that the parents we have studies present intense suffering demonstrating important emotional difficulties, needing to be treated as their autistic children do.
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Alexander, Jessica L. "‘World Wisdom’: Difference And Identity In Gertrude Stein’s “Melanctha”." Bowling Green State University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1213987268.
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Reghelin, Michele Melo. "Uma compreensão psicanalítica acerca da infidelidade conjugal." Universidade do Vale do Rio dos Sinos, 2011. http://www.repositorio.jesuita.org.br/handle/UNISINOS/3095.
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Banco Santander / Banespa
Esta dissertação de Mestrado buscou estudar o tema da infidelidade conjugal sob a perspectiva psicanalítica, através de um entendimento teórico dos processos psíquicos associados a relacionamentos amorosos nos quais ocorrem episódios de infidelidade. Com base no referencial psicanalítico contemporâneo, através das contribuições de Otto Kernberg (1995a; 1995b), Lucinda Mitchell (2000) e Lawrence Josephs (2006), buscou-se compreender a partir dos vínculos amorosos os conflitos daí derivados. Então, foi desenvolvida uma pesquisa qualitativa. A partir das sessões de psicoterapia breve e dos resultados do Teste das Relações Objetais (Phillipson, 2008), realizou-se uma compreensão dinâmica de dois casos clínicos. Os resultados obtidos permitiram compreender que o comportamento infiel crônico deriva de questões pré-edípicas referentes à tentativa de evitar o aprofundamento do vínculo amoroso associado à experiência de perda dos objetos parentais primitivos. Espera-se, com este trabalho, fornecer subsídios para o aprimoramento teórico conceitual das questões amorosas, bem como para o trabalho clínico em psicoterapias psicanalíticas.
This Master thesis explores the subject of couple infidelity using psychoanalysis. It provides an in-depth comprehension of the psychological mechanisms involved on a loving-unfaithful couple relationship. Based on the contemporary works of Otto Kernberg (1995a, 1995b), Lucinda Mitchell (2000) and Lawrence Josephs (2006), conflicts derived from loving relationships are studied. A qualitative methodology was used to formulate a psychodynamic comprehension of two case studies. Data was obtained through psychoanalytical short term psychotherapy and through the results from Object Relations Test (Phillipson, 2008). The study identified that long term infidelity has its origins in pre-oedipal issues related to the avoidance of deepening the romantic relationship and to the frightening experience of losing primitive parental objects. This article aims at improving the theoretical framework to study loving relationships, as well as the clinical practice of psychoanalytical psychotherapy.
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Cauduro, Celia Regina de Souza. "Holding: o contexto da neurogênese. Uma aproximação de Winnicott à neurociência do desenvolvimento." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/47/47135/tde-20012009-162040/.
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A experiência vincular, entre o cuidador primário (mãe) e o bebê, no início da vida pós-natal, constitui o contexto da neurogênese, de acordo com os estudos realizados pela Neurociência do Desenvolvimento; e o fundamento do desenvolvimento emocional segundo a teoria do psicanalista Donald W. Winnicott. O objetivo desta pesquisa é aproximar as construções teóricas de autores que estudam diferentes aspectos de uma mesma realidade: as implicações da experiência vincular entre o bebê e o cuidador primário (mãe), que acontecem nas etapas iniciais do desenvolvimento humano, no processo de inter-relação psique-soma considerada a base do desenvolvimento emocional do ser humano. Essas construções pertencem a uma linha de pesquisa em neurociência do desenvolvimento e outra em psicanálise, representada pela teoria de Donald W. Winnicott, sobre os primórdios do desenvolvimento. Considerando-se que o presente trabalho é um estudo teórico-reflexivo, foi realizada uma pesquisa bibliográfica. As conclusões têm o objetivo de fundamentar um conhecimento que possa ampliar a compreensão dos fatores que interferem no desenvolvimento do ser humano, no início da vida pós-natal, que podem ser responsáveis pelo aparecimento de psicopatologias em etapas futuras do ciclo vital. Enfatizam a necessidade do desenvolvimento de estratégias de intervenção precoce na relação mãe-bebê, em programas de assistência à infância, reforçando a importância da psicologia preventiva na proteção do desenvolvimento humano.The bonding experience between the primary carer (Mother) and the baby, at the start of the post-natal life, forms the context of neurogenesis, according to studies carried out by Developmental Neuroscience; and is also the basis of emotional development, according to the theory of psychoanalyst Donald W. Winnicott. The objective of this study is to investigate the technical constructions of authors who study different aspects of the same reality: the implications of the bonding experience between the baby and the primary carer (mother), which take place in the initial stages of human development, in the process of the interrelation between psyche and soma, which is considered to be the basis for the emotional development the human being. These constructions belong to a line of research in developmental neuroscience, and another in psychoanalysis, represented by the theory of Donald W. Winnicott on the beginnings of development. Considering that this work is a theoretical-reflective study, a bibliographic review was carried out. The conclusions seek to support a knowledge that can further understanding of the factors which influence human development, at the start of the post-natal life, and which may be responsible for the appearance of psychopathologies in future stages of the vital cycle. They also emphasize the need for the development of strategies of early intervention in the relationship between mother and baby, in infant care programs, reinforcing the importance of preventative psychology in the protection of human development.
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Paegle, Isabel Cristina Malischesqui. "Uso do protocolo no serviço de psicologia e avaliação psicodinâmica em candidatos à cirurgia bariátrica." Universidade Metodista de São Paulo, 2009. http://tede.metodista.br/jspui/handle/tede/1427.
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Previous issue date: 2009-04-17Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
The Morbid Obesity and Bariatric Surgery clinic demands long term studies and applicant follow-up. The risks and benefits of surgically induced weight loss must serve as a warning beacon for health professionals. The interview usage within the psychology service is a guideline for the psychological therapy. Objectives: 1) Describe the social and demographical profile of the obese patients, applying for the bariatric surgery. 2) Analyze the patients perception about personality characteristics associated with obesity and feeding disorders. 3) Describe the psychodynamic contents of the subject s speech and evaluate the unconscious strain system of two patients, through the Phillipson s Object Relations Test (ORT). Method: methodological planning with data analysis through the epidemiological method and clinical case study, from a psychoanalytical orientation. At the first stage, 300 protocols from the psychological service were consulted and at the second stage, two patients with weight gain were followed after 24 months. They are patients who sought treatment at a specialized health center located in a Brazilian southeastern metropolis, under post-informed consent. The protocols were filled by 227 women and 73 men; average age around 36 years old; 53% of them with college and secondary education; most of them married; BMI between severe and super morbid (94,3%). Appointed surgical techniques Capella Bypass and Fobi- Capella (67%). Results: psychological characteristics mentioned by the patients; anxiety appeared in 93,7% of the answers, followed by hastiness, nervousness, depression, tolerance to frustration, low self-esteem, concern, problem solver (more than 50%). Family history of obesity is present in more than 70%. Depression and alcohol abuse in 30%; psychotherapy attendance (30%) and depression / anxiety control medication (10%). In the second stage, the psychodynamic diagnosis, using the Phillipson s Object Relations Test with two patients, whose analysis showed a need for psychoanalytic sychotherapy, because they had fixations on the schizo-paranoid position and displayed difficulty in dealing with losses and low motivation for change and insight. Conclusions: with the interview superposing and the empyrical observations registration, this semi directed interview script brings better conditions to assess and evaluate the contents disclosed by the patients. The contradictions between the answers and the speech, in the individual contact with the psychologist, point that an investment in preparing the patient for the surgery is needed, and, more acutely, the psychological follow-up in the first post-operatory year. There is a magical thought to be working through during the questionnaire application about beliefs toward the surgery and the weight loss and so invite the patient to fullfil the place of the subject implied in the pre and post operatory process. The Phillipson s ORT contributed to a better understanding of mental functioning of obese patients with weight gain after surgery.(AU)
A clínica da Obesidade Mórbida e a Cirurgia Bariátrica exige estudos e acompanhamentos do paciente. Os benefícios e riscos do emagrecimento por tratamento cirúrgico devem servir como ponto de alerta aos profissionais da saúde. O uso do questionário no serviço de psicologia é norteado pela escuta psicológica. Objetivos: 1) Descrever o perfil sócio-demográfico candidatos à cirurgia bariátrica. 2) Analisar a percepção dos pacientes sobre características de personalidade associadas à obesidade e transtornos alimentares. 3) Descrever os conteúdos psicodinâmicos da narrativa do sujeito e avaliar o sistema tensional inconsciente de dois pacientes por meio do Teste das Relações Objetais de Phillipson (TRO). Método: O delineamento metodológico com análise de dados pelo método epidemiológico e estudo de caso clínico, orientação psicanalítica. Na primeira etapa foram consultados 300 questionários do serviço de psicologia e na segunda dois pacientes com ganho de peso após 24 meses. São pacientes que procuraram tratamento em clínica especializada, em uma metrópole do sudeste brasileiro, sob consentimento pós-informado. Os questionários foram preenchidos por 227 mulheres e 73 homens; com média de idade igual a 36 anos; escolaridade ensino médio e superior, 53%; maioria casados; IMC entre grave e super mórbido (94,3%). Técnicas cirúrgicas indicadas Capella Bypass e Fobi-Capella (67%). Resultados: características psicológicas referidas pelos pacientes, a ansiedade apontou em 93,7% das respostas, seguidas por impulsividade, depressão, tolerância à frustração, baixa auto-estima, resolvedor de problemas dos outros (mais de 50%). No histórico familiar da obesidade está em mais de 70% depressão e uso do álcool em 30%; realização de psicoterapia (30%) e medicamentos para depressão e ansiedade (10%). Na segunda etapa, foi realizado o diagnóstico psicodinâmico, por meio do Teste das Relações Objetais de Phillipson com duas pacientes, cuja análise indicou necessidade de psicoterapia psicanalítica, pois tinham fixações na posição esquizoparanóide e apresentavam dificuldade em lidar com perdas e baixa motivação para mudança e insigth. Conclusões: Com a aplicação do questionário e o registro das observações empíricas, este questionário de entrevista semidirigida preenche condições de melhor acessar e avaliar os conteúdos revelados pelos pacientes. As contradições entre as respostas e o discurso, no contato individual com o psicólogo, apontam a necessidade de investimento no preparo do paciente para a cirurgia e mais acentuadamente o acompanhamento psicológico no primeiro ano do pós-operatório. Há um pensamento mágico a ser trabalhado durante a aplicação do questionário sobre as crenças frente à cirurgia e o emagrecimento e assim convocar o paciente a ocupar o lugar do sujeito implicado em seu processo pré e pós-operatório. O TRO contribuiu na compreensão do diagnóstico psicodinâmico de pacientes com ganho de peso após cirurgia e reforçou a necessidade de maior investimento no pré-operatório.(AU)
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Weigand, Odila Quartim Barbosa. "Grounding na análise Bioenergética: Uma proposta de atualização." Pontifícia Universidade Católica de São Paulo, 2005. https://tede2.pucsp.br/handle/handle/15583.
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Previous issue date: 2005-05-19The purpose of this study was to deepen and update the concept of grounding in Bioenergetic Analysis. This approach combines fundamental principles of psychoanalysis with direct work on the organism, seen from the viewpoint of its emotional, energetic and relational development. Both paradigms of psychoanalysis, pulsion and object-relations, were studied within the context of the historical development of Bioenergetics Analysis, in terms of their influence on the theory as well as on the practice. Brazilian Bioenergetic Analysis therapists have been building their own identity over the last 25 years. This should not be seen as a split from Alexander Lowen's ideas, as it actually means a differentiation born out of those therapists maturity. The integration of the object-relations paradigm, indicates the pathway for a model of psychotherapy which associates the construction of functional and integrative internal organizations with the phase, in psychotherapy, of dismantling repressive and defensive structures. In this study, a group of third-age women participated in Bioenergetics exercise classes for a period of four months. This research may be considered a social project with the objective of demonstrating an application of Bioenergetic Analysis that would preserve its healing potential, at the same time respecting the principles of intersubjectivity, of social inclusion, citizenship and ethics, and also that would be compatible with Brazilian social reality. The work with the group was conducted intending to create resources that might make possible for chronic primary defenses gradually to become unnecessary. Body work and level of excitation were adequated to the developmental level and physical possibilities of the participants. The changes observed in the group were verified by the subjective observation of the coordinators, as well as by verbal manifestations of participants, and by the analysis of the HTP test. In short, those verified changes were: improvement in vitality and flexibility, self-perception, social contact, increased maturity and ego strength, along with possible emergence of unconscious pulsional and traumatic contents.
O objetivo deste trabalho foi aprofundar e atualizar o conceito do grounding na Análise Bioenergética. Esta abordagem combina os princípios fundamentais da psicanálise com o trabalho direto no organismo visto do ponto de vista do seu desenvolvimento energético, emocional e relacional. Os dois paradigmas da psicanálise, pulsional e objetal, foram discutidos no contexto da evolução histórica da Análise Bioenergética, em termos de suas influências na teoria e na prática. Os terapeutas brasileiros vêm criando uma identidade própria ao longo dos últimos 25 anos. Não se trata de uma cisão em relação às idéias de Alexander Lowen, mas de uma diferenciação resultante do amadurecimento dos mesmos. A introdução do paradigma objetal indica o caminho para um modelo de psicoterapia no qual se agregam a construção de organizações internas funcionais e integradoras e a fase de desmonte das estruturas repressivas e defensivas. Neste estudo, mulheres da terceira idade participaram de um grupo de exercícios de Análise Bioenergética por um período de quatro meses. A pesquisa pode ser considerada um projeto social, com o objetivo de demonstrar uma aplicação da Análise Bioenergética que preservasse seu potencial curativo, ao mesmo tempo respeitando princípios de intersubjetividade, inclusão social, cidadania e ética, e também fosse compatível com a realidade social brasileira. O trabalho com este grupo foi conduzido com a intenção de criar recursos para que as defesas primitivas crônicas pudessem tornar-se gradualmente desnecessárias. Trabalhou-se corporalmente com níveis de excitação e técnicas adequadas ao estágio de desenvolvimento e capacidade física das participantes. As mudanças ocorridas no grupo foram constatadas por observação subjetiva das coordenadoras, por manifestações verbalizadas pelas participantes e pela análise do teste HTP. Em síntese caracterizam-se essas mudanças como: melhora na vitalidade e flexibilidade, na auto-percepção, no contato social, maior maturidade, fortalecimento do ego e possibilidade de emergência de conteúdos pulsionais e traumáticos inconscientes.
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Cruz, Paula Maria Marta Ribeiro da. "Regulação dos Afetos e Expressão Facial das Emoções em Arteterapia: um estudo de caso." Master's thesis, [s.n.], 2013. http://hdl.handle.net/10284/3811.
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Dissertação apresentada à Universidade Fernando Pessoa como parte dos requisitos para a obtenção do grau de Mestre em Psicologia, Ramo de Psicologia Clínica e da SaúdeO presente trabalho procura articular três eixos de pesquisa: a arteterapia, a regulação dos afetos e a expressão facial das emoções, e divide-se em três partes: uma introdução teórica, a metodologia e a conclusão. Na primeira parte, apresenta-se, num primeiro momento, a arteterapia como contexto do estudo, pois é no contexto de um processo de intervenção arteterapêutico que irá decorrer o nosso estudo. Referem-se as principais contribuições de Freud, de Jung, de Klein, de Winnicott e de Milner, o inconsciente, o inconsciente coletivo e os arquétipos, as relações de objeto, o espaço potencial e o brincar, o modelo de intervenção arteterapêutica. Num segundo momento, denominado por enquadramento teórico, reflete-se sobre a regulação dos afetos, a contribuição do modelo de vinculação, apresenta-se o modelo de biofeedback social do espelhamento parental dos afetos, e analisa-se ainda a relação entre regulação dos afetos, o processo de mentalização e o desenvolvimento do self. Finalmente, a expressão facial das emoções é apresentada como objeto de estudo do presente trabalho, pois é sobre ela que irá recair a nossa pesquisa final. Apresentam-se os gatilhos da emoção e o conceito de emoções básicas, bem como uma descrição das sete emoções básicas. Faz-se uma síntese final da articulação entre a regulação dos afetos, a mentalização e a mudança da expressão facial das emoções em arteterapia. Na segunda parte, apresenta-se o caso e descreve-se a metodologia utilizada para a investigação, bem como os resultados encontrados. Na última parte, enunciam-se algumas conclusões gerais e algumas observações mais particulares. The present study tries to articulate three levels of research: art therapy, affect regulation, and the facial expression of emotions, and divides in three parts: a theoretical introduction, methodology and a conclusion. In the first part, we present, in a first moment, art therapy as context of the study, for it is in the context of a process of art-therapeutic intervention that our research will take place. We refer to the main contributions of Freud, Jung, Klein, Winnicott and Milner, the unconscious, the collective unconscious and archetypes, object relations, the potential space and playing, the art-therapeutic intervention model. In a second moment, designated as theoretical background, we reflect upon affect regulation, the contribution of the attachment model, we present the model of social biofeedback of parental mirroring of the affects, and we further analyse the relationship between affect regulation, the process of mentalization and the development of the self. Finally, facial expression of emotions is presented as the object of study of our research, for our final research will lie upon it. We present the triggers of emotion and the concept of basic emotions, as well as a description of the seven basic emotions. We make a final synthesis of the articulation between affect regulation, mentalization and the change of facial expression of emotions in art therapy. In the second part, we present the case and we describe the methodology used during the research, as well as the results obtained. In the last part, we state some general conclusions and some more particular observations.
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Pereira, Filipa Costa. "Estudo da dinâmica das relações objectais em crianças com irrequietude motora através do método Rorschach: Agitação nas concepções - encontro com a criança." Master's thesis, Instituto Superior de Psicologia Aplicada, 2005. http://hdl.handle.net/10400.12/783.
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Dissertação de Mestrado em Psicopatologia e Psicologia ClínicaNeste trabalho delineamos uma investigação que visou procurar o significado mais profundo da expressão da irrequietude motora infantil. Para tal, destacamo-nos da lógica de assinalamento diagnóstica, que pretende definir uma categorização psicopatológica, mas pouco avança na compreensão centrada nestas crianças. Desta forma, o nosso objectivo centrou-se na procura da singularidade e do valor da agitação motora inserido na lógica individual, que condiciona e é condicionada pela dinâmica das relações de objecto. A nossa proposta assenta, por isso, numa observação minuciosa, com uma atenção a diversos registos comportamentais, verbais e relacionais, o que determinou a procura de um instrumento, de um método e de uma metodologia coerente e convergente com o nosso referencial teórico - o psicanalitico - e com os nossos objectivos. Fundamentado na teoria das relações de objecto e operacionalizado através de procedimentos que estabelecemos, o Rorschach constituiu-se como o nosso método de investigação, potencializado para alargar a nossa visão sobre as três crianças irrequietas que analisámos e, consequentemente, e apenas na medida do que tal comporta, sobre a irrequietude motora. Sem anular a singularidade, procurámos os pontos de intersecção dos três funcionamentos, para repensarmos a via motora de expressão de angústias e a sua lógica inscrita numa dinâmica de relações objectais. Constatámos que as modalidades de investimento relacional, a dinâmica conflitual e organização defensiva assumem particularidades em cada criança e condicionam diferentes funções da agitação motora. Num caso, verificou-se um registo mais inibido, noutros um registo mais incontido. No primeiro, o recurso ao corpo serve propósitos de retracção relacional, noutro representa fugas e procuras agidas e noutro insere-se numa procura de suporte externo. Nos pontos comuns registámos a influência negativa das vivências internas na relação externa, mas a possibilidade desta constituir uma contenção externa. Verificámos perturbações no processo de pensamento associadas à porosidade dos limites, a angústias persecutórias e à falha na estabilidade do bom objecto, que aqui considerámos como estranho-desconcertante e que determina o recurso a defesas, predominantemente primárias, que comprometem a riqueza e flexibilidade do funcionamento psíquico.
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Häggblom, Gunilla. "Livsmystik och destruktiv maktsträvan - två poler i Per Olof Sundmans författarskap : en undersökning med särskilt fokus på romanerna Expeditionen och Två dagar, två nätter." Doctoral thesis, Umeå universitet, Institutionen för kultur- och medievetenskaper, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-101990.
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My thesis addresses the antagonism between the mystery of life and the destructive pursuit of power which forms a central theme in the works of Per Olof Sundman (1922–1992). The purpose is to show that Sundman uses the theme of the encounter/non-encounter and the destructive leader to examine the conditions for allowing a deeper experience of reality and the destructive exercise of power. I analyse these themes using concepts borrowed from literary studies (Atle Kittang, Paul Ricoeur, Bertil Romberg, Staffan Björck, Gérard Genette), the philosophy of religion (Martin Buber, Göran Bergstrand) and psychoanalysis (Ludvig Igra, Otto Kernberg, Erich Fromm, Julia Kristeva). My study highlights the problems associated with the destructive exercise of power, which is the overriding theme of Sundman's work. I explore the theme of the encounter by using the concept pair I-You/I-It. With the aid of this concept pair, I throw light on the aspect of depth in our existence by describing the human encounter. In my analysis on the theme of power, I point out the personal qualities inherent in the destructive leader. I also explore the link between the destructive leader's inner conflict of narcissism and repressed weakness – a conflict projected to the outside world – and the emergence of violence. In order to reveal this inner process, I unearth on a latent level the theme of the destructive leader/stranger in Sundman's work. This enables me to single out the mechanism responsible for the emergence of destructivity in the human psyche, while showing the close link between this pattern of narcissism and projected weakness and a distorted view of reality. Sundman contrasts this world of power with an integrative attitude to life. In his novel The Expedition, Sundman depicts life in the other world as being a state of human coexistence in which no one is seen to be a stranger. This idea of unity is reinforced by the choice of name for the first-person narrator of the other world. In this novel, the conditions enabling the flourishing of universalism as an attitude to life are also those that give expression in the I-You encounter to the experience of a deeper aspect to our existence.
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Vasconcelos, Ana Maria. "O bebé do limbo: Uma abordagem à observação de bebés pelo método de Esther Bick." Master's thesis, Instituto Superior de Psicologia Aplicada, 2000. http://hdl.handle.net/10400.12/1011.
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