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Vol. 44 No. 1 (2024)
Revista Portuguesa de Psicanálise

Clínicas

Abordagem Psicanalítica Institucional em Territórios de Adições e Perturbação Borderline da Personalidade

https://doi.org/10.51356/rpp.441a4

Published 2024-06-30

Sandra Pires
Sociedade Portuguesa de Psicanálise

Abstract

Institutional Psychoanalytic Approach in Addiction and Borderline Personality Disorder Territories

The aim of this work is to illustrate, based on the presentation of a clinical case of a young woman with addiction problems and borderline personality disorder followed in psychodynamic psychotherapy in an institutional outpatient context, the relevance of psychoanalytic thinking and understanding of transference and countertransference dynamic in accessing the mental functioning and adherence to treatment of these difficult to reach patients (Joseph, 1975).

Based on clinical material and the conceptual approach of Otto Kernberg’s theory of object relation theory (1976), Thomas Ogden’s autistic-contiguous position (1989) and Esther Bick’s phenomena of “second skin formation” (1968), it is proposed to support the understanding of sensory manifestations that can appear in these patients and be acted on the intersubjective stage of the therapeutic relationship, as forms of primitive and unconscious communication that aim to recover sensations of existence, restoring the limits of the self and emotional connection to the other, associated with the precarious identity of the limits of the self and anxieties of dissolution linked to experiences of original helplessness. The clinical and technical implications of this approach for therapeutic intervention in these patients are analyzed.

Keywords

addictions, borderline pathology, original helplessness, austistic-contiguous anxiety, second skin phenomena

PDF (Português)

Author Biography

Sandra Pires

Psicóloga Clínica no Instituto para os Comportamentos Aditivos e as Dependências, Mestre em Psicologia clínica e psicopatologia. Psicanalista, membro da Sociedade Portuguesa de Psicanálise (SPP), da Federação Europeia de Psicanálise (FEP) e da Associação Internacional de Psicanálise (IPA).

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