“TAXIDERMIST’S DAUGHTER”: INVOLUTIONARY PSYCHOSIS AS A SUCCESSFUL TEMPTATION BY THE INTERNAL OMNIPOTENT OBJECT
DOI:
https://doi.org/10.32782/upj/2023-2-1Keywords:
involution, psychosis, personality disorder, pathogenesis, narcissismAbstract
The paper highlights various approaches to the diagnosis of mental disorders of the involutionary period, emphasizes typical personality traits of patients with involutionary psychoses. The author presented the results of the study of patients with involutional psychoses using clinical-psychopathological, psychodynamic and psychological-experimental methods and gave an assessment of the revealed patterns. The author provides a detailed analysis of the case of a patient with involutional psychosis and shows the great importance of the premorbid personality structure in the formation of the clinical picture and dynamics of the mental disorder that debuted at the age of involution. Through a thorough psychodynamic analysis of the history, it was demonstrated that the patient's personality premorbidity met the descriptive criteria of narcissistic personality disorder. According to the main personal patterns of response, the patient also meets most of the descriptive criteria for narcissistic personality disorder as presented in DSM-IV-TR and DSM-5, namely: reacting to criticism with anger, feelings of shame or humiliation; tendency to exploitation in interpersonal relationships; a hypertrophied sense of self-importance; a tendency to consider one's problems unique and understandable to few; fantasies about success, power, wealth, beauty or ideal love; groundless expectations of particularly good treatment of oneself; seeking attention and approval; lack of empathy: inability to understand and experience the feelings of others; a feeling of envy of the successes and achievements of other people. This is also confirmed by the results of the conducted Clinical Semi-Structured Interview of personality disorders IPDE. The author emphasizes that such an integrative approach, which combines clinical-psychopathological and psychodynamic methods, provides a deeper and clearer understanding of patients with involutional psychoses.
References
American Psychiatric Association (1987). DSM-III-R Diagnostic and Statistical Manual of Mental Disorders. 3rd Edition Revised.
American Psychiatric Association (1994). DSM-IV Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition.
American Psychiatric Association (2000). DSM-IV-TR Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition, Text Revision.
American Psychiatric Association (2013). DSM-5: Diagnostic and Statistical Manual of Mental Disorders.
Argelander H. (2013). The scenic function of the ego and its role in symptom and character formation. Int J Psychoanal, 94(2), 337–354.
Bion, W. (1962). Learning from Experience. London (Maresfield).
Bion, W. (1990). Lernen durch Erfahrung. Frankfurt (Suhrkamp).
Cooper, J.E., & World Health Organization (1994). Pocket guide to the ICD-10 classification of mental and behavioural disorders: With glossary and diagnostic criteria for research: ICD-10/DCR-10. American Psychiatric Pub.
Deley, J, Denniker, P. (1961). Methodes chimiotherapiques en psychiatrie. Paris.
Denniker, P. (1957). Formes cliniques et diagnostic des psychoses thymiques L’encephale. T. 46.
Erikson, E.H. (1968). Identity youth and crisis. WW Norton & company.
Ey, H., Bernard, P., Brisset, C. (1960). Manuel de psychiatrie. Paris: Masson.
Freud, S. (2014). On narcissism: An introduction. Read Books Ltd.
Jaspers, K. (1997). General psychopathology (Vol. 2). JHU Press.
Kleist, K. (1925). Die gegenwaertigen Stroemungen in der Psychiatrie. Berlin: de Gruyter & Co.
Kraepelin, E. (1903). Psychiatrie. Ein Lehrbuch für Studierende und Ärzte. Siebente, vielfach umgearbeitete Auflage. Band I. Allgemeine Psychiatrie. Barth Verlag, Leipzig.
Kraepelin, E. (1904). Psychiatrie. Ein Lehrbuch für Studierende und Ärzte. Siebente, vielfach umgearbeitete Auflage. II. Band [in 2 Teilbänden]. Klinische Psychiatrie. Barth Verlag, Leipzig.
Kretschmer, E. (1927). Der sensitive Beziehungswahn. Berlin: “Springer“.
Kretschmer, E. (2013). Physique and Character: An Investigation of the Nature of Constitution and of the Theory. Routledge.
Loch, W. (1986). Anmerkungen zur Einfuhrung und Bergundung der “Flash” – Technik als Sprechstunden-Psychoterapie. Perspektiven der Psychoanalyse. Stuttgart: “Hirzel“, 107–113.
Loch, W. (1999). Die Krankheitslehre der Psychoanalyse. Allgemeine und spezielle psychoanalytische Theorie der Neurosen, Psychosen und psychosomatischen Erkrankungen bei Erwachsenen, Kindern und Jugendlichen, 6, vollständig überarbeitete und erweiterte Auflage, S. Hirzel Verlag, Stuttgart, Leipzig, 431.
Mahler, M.S. (2018). The psychological birth of the human infant: Symbiosis and individuation. Routledge.
McWilliams, N. (2011). Psychoanalytic diagnosis: Understanding personality structure in the clinical process. Guilford Press.
Medow, W. (1922). Eine Gruppe depressiver Psychosen des Rückbildungsalters mit ungünstiger Prognose. “Arch. Psychiat. Nervenkr“, 64, 480–506.
Mentzos, S. (2000). Neurotische Konfliktverarbeitung. Fischer Taschenbuch Verlag.
Noyes, A., Kolb, L. (1960). Modern clinical psychiatry. Philadelphia & London, W B Saunders & Co.
Tait, С., Burns, G. (1951). Involutional illnesses. American Journal of Psychiatry, 108, 27–36.
The International Statistical Classification of Diseases and Related Health Problems. 11th revision (ICD-11) (2013).
Tyson, P., & Tyson, R.L. (1990). Psychoanalytic theories of development: An integration. Yale University Press.
Steiner, J. (1993). Psychic Retreats: Pathological Organisations of the Personality in Psychotic, Neurotic, and Borderline Patients. London & New York: Routledge.
Van der Kolk, B., Pelcovitz, D., Roth, S., et al. (1996). Dissociation, Somatization, and Affect Dysregulation: The Complexity of Adaptation to Trauma. Amer. J. Psychiat, 153, 83–93.
Winnicott, D. (1979). Objektverwendung und Identifikation. In: Winnicott, D.W.: Vom Spiel zur Kreativität. Stuttgart (Klett-Cotta).
Zajicek, B. (2018). Soviet psychiatry and the origins of the sluggish schizophrenia concept, 1912–1936. History of the Human Sciences, 31(2), 88–105.
Авербух, Е. (1969). Расстройства психической деятельности в позднем возрасте. Ленинград: «Медицина».
Бітенський, В., Пустовойт, М., Бітенський, К. (2005). Деякі міркування про формування невротичних розладів і патологічних розладів особистості. Вісник психіатрії та психофармакотерапії, 2(8), 7–13.
Бітенський, В., Пустовойт, М. (2006). Дефініція травми: проблеми та перспективи. Вісник психіатрії та психофармакотерапії, 2(10), 5–6.
Винник, М.І., Вітенко, І.С., Тодорів, І.В., Пустовойт, М.М., Лановий, В.І., Краснопольська, І.І. (2006). Основи психодинамічної діагностики і психотерапії. Посібник для студентів медичних ВУЗів. Івано-Франківськ: МІСТО НВ.
Гейер, Т. (1925). К вопросу о пресенильных психозах. Труды психиатрической клиники, 1, 131–138.
Жислин, С. (1975). Очерки клинической психиатрии. Москва: «Медицина».
Підкоритов, В., Чайка, Ю. (2003). Депресії. Сучасна терапія. Харків: Торнадо.
Пустовойт, М.М. (2008). Роль особистісного фактора в ґенезі інволюційних психозів. Вісник психіатрії та психофармакотерапії, 1(13), 45–59.
Руководство по психиатрии (1983) / под ред. А.В. Снежневского. Т. 1. Москва: Медицина.
Штернберг, Е. (1965). Проблеми геріатрії в клініці нервових і психічних хвороб. Київ.
