A MODEL FOR INTEGRATING ACTUAL NEUROTIC OR UNREPRESENTED STATES AND SYMBOLIZED ASPECTS OF INTRAPSYCHIC CONFLICT

Area of Science:

• Psychoanalytic theory
• Psychodynamic psychology
• Clinical psychology

Background:

• The focus in psychoanalysis shifted from actual neuroses to intrapsychic conflict.
• Actual neuroses were historically considered devoid of psychic content.
• This paper re-examines the role and treatment of actual neuroses.

Purpose of the Study:

• To explore the relationship between actual neurotic states and unrepresented states.
• To propose treatment approaches for actual neuroses focusing on countertransference and intersubjectivity.
• To describe models of interaction between actual neurotic states, intrapsychic conflict, and environmental stressors.

Main Methods:

• Literature review of psychoanalytic theory.
• Conceptual analysis of actual neuroses and unrepresented states.
• Exploration of therapeutic interventions like countertransference and intersubjectivity.

Main Results:

• Actual neurotic and unrepresented states may be better addressed through intersubjective and enactment-based approaches.
• Models are presented illustrating the interplay between somatic experiences, psychic conflict, and external factors.
• Symbolizing actual neurotic states is crucial for treatment.

Conclusions:

• Effective treatment for certain disorders requires symbolizing actual neurotic states.
• Linking somatic/affective experiences with intrapsychic conflict is essential for therapeutic progress.
• Reintegrating the concept of actual neuroses offers a broader understanding of psychic distress.