The body in anorexia and bulimia

Abstract

The psychoanalytic clinic for anorexia and bulimia puts us into immediate contact with the question of the body, as well as with aspects typical of adolescence. These aspects especially include difficulties in early relationships with the mother regarding the management of the drives, and relationships with primary identification. Consequently, we are dealing with ideals, differentiation, autonomy, time and death. Here hypotheses that were drawn up on the basis of metapsychology are discussed, with the objective of contributing to a broader understanding of the construction of the bodily image. This process includes the perception, representation and internal experience of the patients' own bodies. The impasses experienced in the analytic situation also indicate particularities in managing the transference in these cases.

Psihodinamski pristup razumevanju anoreksije nervoze

“…Oralni konflikti koji su se desili u odnosu sa majkom u najranijem periodu, a koji su bili vezani za hranjenje kod ovih devojaka su bili visoko frustrirajući. Pod uticajem rigorozne restrikcije hrane zaustavlja se razvijanje sekundarnih polnih karakteristika te dolazi do blokiranja javljanja seksualnih želja, što se katkad psihoanalitički interpretira kao kontrolisanje strepnje od gubitka Ona smatra da su problemi nastali u najranijem periodu, vezani za usmeravanje energije libida, posebno uslovi u kojima se uspostavljao autoerotizam, od suštinske važnosti(Fernandes 2012). Kohutu (Heintz Kohut), self je dinamička rezultanta dejstva drugog (najčešće majke) na bebu.…”