[Disorders of the diagnostic judgment process in pre-oedipal pathologies]

Area of Science:

• Psychoanalytic theory
• Clinical psychology
• Developmental psychology

Context:

• Pre-oedipal pathologies present unique challenges in psychoanalytic treatment.
• Patient resistance and refusal patterns frequently disrupt diagnostic processes.
• Analysts may struggle with their own expectations and defensive maneuvers.

Purpose:

• To explore the disturbances in psychoanalytic judgment with pre-oedipal patients.
• To understand the analyst's countertransference reactions to sado-masochistic interactional patterns.
• To define the therapeutic objective in treating pre-oedipal pathologies.

Summary:

• Psychoanalytic judgment is frequently disturbed in pre-oedipal pathologies, influenced by patient resistance and analyst's defenses.
• The analyst's expectations and judgments can be compromised, necessitating self-critical analysis.
• The therapeutic goal involves establishing a 'playground' for working through the conflict between insatiable drives and social alienation.

Impact:

• Highlights the complexities of psychoanalytic treatment for early developmental issues.
• Emphasizes the importance of the analyst's self-awareness and management of countertransference.
• Suggests a novel approach to resolving core conflicts in pre-oedipal pathologies through therapeutic play.