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Anorexia nervosa and unresolved rapprochement conflicts. A case study.

N Fischer

    The International Journal of Psycho-Analysis
    |January 1, 1989
    PubMed
    Summary

    Psychoanalytic treatment of a teenage girl with anorexia nervosa utilized Margaret Mahler

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    Area of Science:

    • Psychoanalysis
    • Developmental Psychology
    • Clinical Psychology

    Background:

    • Presents a psychoanalytic case study of a 16-year-old female diagnosed with anorexia nervosa.
    • Highlights the complexities of transference and countertransference in early treatment phases.

    Observation:

    • The patient exhibited classical signs and symptoms of anorexia nervosa.
    • Intense and affect-laden interactions characterized the therapeutic relationship.
    • The initial phase of treatment appeared chaotic and stagnant.

    Findings:

    • Applying Margaret Mahler's separation-individuation theory, particularly the rapprochement subphase, clarified the patient-analyst dynamic.
    • Developmental understanding facilitated interpretation and reconstructive interventions.
    • These interventions demonstrated significant therapeutic impact, enabling progress and personality growth.

    Implications:

    • The separation-individuation framework offers valuable insights into treating complex cases like anorexia nervosa.
    • Psychoanalytic approaches informed by developmental psychology can address 'developmental lags'.
    • Long-term follow-up suggests sustained positive outcomes and personality development.

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