FormeCircolari

Presentation: Anorexia, Adolescence, Group

In 2004, Funzione Gamma introduced the 14th edition of “Groups with anorexic patients: therapeutic factors”. Today, we are glad to present the continuation of the dialogue we started back then, to further proceed in our attempt to combine theoretical model and clinical intervention in the 24th edition of “Anorexia, Adolescence, Group”. The title already hints that the theme of identity constitutes the invisible path that will guide us through this edition. As Rouchy (1987) writes, “It is impossible to declare our identity without naming one of the multiple groups to which we belong”. As human beings, we live in groups. Our sense of identity arises and develops from these various affiliations. The group is an essential element of human existence: men are born in groups, they play in groups, they fight in groups and against groups, and all religious and heathen rites are celebrated in groups. In the field of neuroscience, research has shown how the mind develops through relationships. The development of our nervous system is an experience-dependant process: in the early stages of life, significant relationships are the main source of experience, which also modulate genic expression at a brain level. Relationships with others have a great influence on the brain. The circuits that mediate social experience, are closely related to those Read more

FormeCircolari

Homogeneous time-limited groups and eating disorders

Abstract

This work describes some hypotheses on the functioning of the homogeneous time-limited group mechanism used in the treatment of eating disorders, led with a psychoanalytic vertex observation. The work is divided into 4 main parts. In the first part, the authors describe the meaning of homogeneous group and its characteristics particularly in terms of  specific therapeutic elements and group functioning. In the second part, an analysis of the homogeneous group within the treatment of eating disorders is carried on. In the third part of the work, Time-limited group psychotherapies are presented, being these characterized from a prearrangement of the term; concepts which appear specific of time-limited group, such us Read more

FormeCircolari

Generations of analysts, generations of patients: non-symbolizable destructiveness in contemporary patients

Abstract

This article focuses on contemporary psychological problems, given the frequent difficulties in analytic work with patients and the relevance of contemporary analytical treatments. The author gives a particular attention to destructiveness and provides a working hypothesis with patients that present a deficit in symbolization. It seems important to develop areas of psychic work not only bounded in the relationship between two subjects, but that are also widespread in the mental state of a generation or more generations. It seems also important to identify a group/state of mind that exists between different longitudinal degrees of kinship. In addition, this work takes place in an area that, I imagine, exists before, or around, the psychoanalytic treatment, even if it involves analytical thought, without which it would have no meaning. These themes are treated from the perspective of destructiveness, of desubjectification, and the difficulty of symbolization, as conditions that Read more

FormeCircolari

Treating Anorexia

Abstract

Looking at cases of adolescents and young women, the author describes psychoanalytic treatments for eating disorders. The article describes fundamental elements of the treatment, including: the structure of the interdisciplinary group of care (psychoanalyst, endocrinologist, nutritionist) and the role of parental involvement. Therapy focuses on the reconstruction of Precursors of the Ego (self-containment and reflective skills). A crucial step is the ability for patients to enter into mental conflict in the therapeutic relationship and with the family, since Read more

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Individuation of the self and eating disorders in adolescence

Abstract

The purpose of this article is to present an etiopathogenetic hypothesis of eating disorders (DCA) during adolescence, from the theoretical model of Self Psychology and clinical experience gained in the field. According to this hypothesis, a particular structural deficit of the Self and familial relations lay the groundwork that structures an eating disorder, in a Read more

FormeCircolari

Anorexia, Adolescence, Group

Abstract

The overview of the anorexic disorder may be confronted through two different axes: one that proceeds through the intra-psychic depths, in search of personal factors which impede the fulfilment of individual personality, and a social axis, which pinpoints through the history of the community the roots concerning the diffusion of anorexia in Read more

FormeCircolari

The anorexic-bulimic symptom during the therapy

Abstract

This article seeks to investigate particular features of the anorexic symptom in women who begin therapy between the ages of 23 and 27 and who indicate the presence of it only after the start of therapy. Through the presentation of two cases, the article then analyzes the management of this symptom in the therapeutic relationship from a psychodynamic Read more

FormeCircolari

The homogenous group in the clinical practice of new symptoms. Some notes on the Lacanian psychoanalytic perspective

Abstract

The topics presented in this paper aim to answer three questions. The first: what is it that justifies the changes of contemporary psychopathological forms?  The second: why resort to the group when treating anorexia and bulimia? The third: when working with patients with eating disorders, which are the factors that make group work therapeutic? The theoretic approach that will be adopted regarding the subject in contemporary clinical practice is that of psychoanalysis of Lacanian orientation. Particular focus shall be placed on work carried out by the psychoanalyst Massimo Recalcati Read more

FormeCircolari

Anorexia: the risk of a suicidal nihilism to survive in adolescence

Abstract

Death as what makes possible the anorexic subject’s referring to other, in the happened admission of the unsubstantiality of what in which he previously pleasing, strove himself: the assurance of the Other’s jouissance (Lacan J., 1973). The «will of nothingness […] turned against the most basic life’s presuppositions» (Nietzsche, 1887) imposes itself in the dislike for human and corporeal, as what allows a feeling of uniqueness and extraordinariness that soon reveals the subject as a prisoner of the conformity and homogeneity of an “uniform- body” which springs the reality of its sacrifice Read more

FormeCircolari

A psychological support group for the parents of patients with eating disorders

Abstract

This article aims to describe the experience of conducting a psychotherapy group for parents of patients affected by eating disorders, took place in the General Hospital Sant’Orsola, in Bologna (Italy). The first part describes a theoretical analysis of the dynamics of families of patients who are affected by eating disorders. The second part describes sessions that show the special clinical dimension and therapeutic factors that characterize Read more