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A falsifying adolescent.

Richard M Billow1

  • 1RMBillow@hotmail.com

The Psychoanalytic Quarterly
|October 28, 2004
PubMed
Summary

This case study explores how an adolescent patient

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Area of Science:

  • Psychoanalytic psychotherapy
  • Adolescent psychology
  • Object relations theory

Background:

  • An adolescent patient presented with factual truths masked by an aura of falsity.
  • This falsity acted as a significant barrier to psychological insight during psychotherapy.

Observation:

  • The psychotherapist adapted by embodying the patient's internalized neglectful and false adult figures.
  • This counter-transference enactment aimed to mirror the patient's internal world.

Findings:

  • The therapist's modified functioning eventually fostered a trusting and reliable therapeutic alliance.
  • The case illustrates the application of Wilfred Bion's concepts of truth, falsity, and container-contained relationships (symbiotic, commensal, parasitic).

Implications:

  • Understanding and adapting to patient-specific defenses can facilitate therapeutic progress.
  • Bion's theoretical framework offers valuable insights into relational dynamics in adolescent psychotherapy.