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The perimenarche syndrome (a proposal).

S Ushijima1, R Kobayashi

  • 1Department of Psychiatry, Fukuoka University School of Medicine, Japan.

The Japanese Journal of Psychiatry and Neurology
|June 1, 1988
PubMed
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This study examines two 11-year-old girls experiencing depression and obsessional symptoms before menarche. Findings highlight prominent preoedipal regression and transitional object use, differing from classical cases.

Area of Science:

  • Child and Adolescent Psychiatry
  • Developmental Psychology
  • Psychoanalytic Theory

Background:

  • Preadolescence presents unique psychological challenges.
  • Classical psychoanalytic literature describes specific developmental crises.
  • Contemporary societal changes may influence child development.

Observation:

  • Two 11-year-old girls presented with depression and obsessional symptoms preceding menarche.
  • Observed clinical features included prominent regression to a preoedipal level.
  • Transitional objects, like dolls and stuffed animals, were utilized by the patients.

Findings:

  • The observed clinical presentation differed from previously documented classical cases.
  • Regression to a rapprochement crisis-like state was a significant finding.

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  • Factors such as premature physical growth and altered parent-child dynamics were implicated.

    • Implications:

    • Understanding preadolescent developmental shifts is crucial.
    • Early identification of regression and attachment patterns can inform interventions.
    • Findings may enhance the treatment of adolescent and adult psychiatric disorders.