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Related Experiment Videos

Social phobia: research and clinical practice.

R Alnaes1

  • 1Anders Lund, Psykiatrisk avdeling, Haukeland Sykehus, NO-5021 Bergen, Norway.

Nordic Journal of Psychiatry
|February 13, 2002
PubMed
Summary

This case study shows how psychoanalytic therapy helped a woman with social phobia and personality disturbances overcome childhood trauma. Working through early experiences led to reduced symptoms and improved relationships.

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Area of Science:

  • Psychology
  • Psychiatry
  • Psychoanalysis

Background:

  • Social phobia affects 18% of clinical populations and can be chronic despite treatments.
  • The patient presented with social phobia, personality disturbances, low self-esteem, and weak ego boundaries.

Purpose of the Study:

  • To describe the psychoanalytic treatment of a patient with social phobia and complex trauma.
  • To explore the impact of early sexual seduction and paternal loss on adult psychopathology.

Main Methods:

  • A detailed case analysis of a divorced woman undergoing psychoanalytic therapy.
  • Exploration of childhood experiences, including pre-oedipal and oedipal conflicts, and repetition compulsion.

Main Results:

  • Psychoanalytic therapy, unlike cognitive-behavioural therapy and psychopharmacology, proved effective.
  • The patient processed traumatic experiences, reduced symptom severity, and improved interpersonal functioning over 5 years.

Conclusions:

  • Psychoanalysis can be effective for complex cases of social phobia with deep-seated trauma.
  • Working through early life experiences is crucial for resolving personality disturbances and improving relational health.

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