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Unthinkability and psychosomatic symptoms.

C Neri

    International Journal of Psychoanalytic Psychotherapy
    |January 1, 1984
    PubMed
    Summary

    This study explores how difficulties in thinking and symbolic representation, termed "hyposymbolization" and "hypersymbolization," connect to psychosomatic symptoms and impact therapeutic relationships.

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    Area of Science:

    • Psychology
    • Psychoanalysis
    • Psychosomatic Medicine

    Background:

    • W. R. Bion's theory links impaired "apparatus for thinking thoughts" to psychosomatic symptoms.
    • Subsequent research explored thought and image formulation deficits in psychosomatic development.
    • This paper extends these concepts to a clinical case study.

    Observation:

    • The clinical case highlights a deficiency in symbolic representation.
    • This symbolic deficiency significantly affected transference-countertransference dynamics.
    • The study identifies falsification and "hyposymbolization" as key issues.

    Findings:

    • The paper introduces "hypersymbolization" as a phenomenon where single symbols carry multiple meanings.
    • Analysis reveals the intricate relationship between symbolic deficits and psychosomatic manifestations.
    • The case demonstrates how impaired symbolic processing influences the therapeutic encounter.

    Implications:

    • Understanding symbolic deficiencies offers new perspectives on psychosomatic symptom formation.
    • Clinical interventions targeting symbolic processing may benefit psychosomatic patients.
    • This work deepens the psychoanalytic understanding of the mind-body connection in illness.

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