Self-harm in psychoanalytic psychotherapy – a psychosocial case study

Psychoterapia ◽  
2020 ◽  
Vol 192 (1) ◽  
pp. 75-87
Author(s):  
Beata Boćwińska-Kiluk
Keyword(s):  
Psychoanalytic Psychotherapy ◽  
Self Harm

Psychiatric comorbidities in temporal lobe epilepsy: A case study

2017 ◽  
Vol 41 (S1) ◽  
pp. S474-S474
Author(s):  
L. Jouini ◽  
U. Ouali ◽  
R. Zaouche ◽  
R. Jomli ◽  
Y. Zgueb ◽  
...  
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Psychotic Disorders ◽  
Psychiatric Symptoms ◽  
Complete Disappearance ◽  
Therapeutic Implications ◽  
Self Harm ◽  
Competing Interest

IntroductionPsychiatric disorders frequently occur in patients with temporal lobe epilepsy (TLE) (70%). This combination further reduces the quality of life of patients as diagnosis is difficult and therapeutic opportunities are often missed.ObjectivesThe aim of this case study is to show the possible association between TLE and psychiatric semiology and its therapeutic implications.MethodsPresentation of the clinical case of Mr BH who experienced psychosis like symptoms, was finally diagnosed with TLE and put under anti-epileptic drugs.ResultsMr BH, aged 22, with no family or personal history, was admitted for aggressive behavior, self-harm, pyromania, and depression. Three years prior to onset of psychiatric symptoms, he reports episodes of pulsatile- left-temporal headache followed by hypertonic movements of the neck. Symptoms were intermittently followed by total amnesia or impaired consciousness. The patient explained symptoms by an inner presence that he called “his twin” and to whom he attributed those behaviors contrary to his will. The discovery of bilateral hippocampal atrophy in magnetic resonance imaging with a normal electroencephalography suggested the diagnosis of TLE with post-ictal psychotic disorders. Patient was put initially on diazepam and olanzapine with partial improvement. Association of valproate led to progressive but then complete disappearance of symptoms and so confirmed our diagnosis.ConclusionsIt is often difficult to attach psychiatric symptoms to epilepsy. The diagnosis should be done on a set of clinical, radiological and electrical arguments.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Substance Use and Self-Harm: Case Studies From Patients Admitted to an Urban Hospital Following Medically Serious Self-Harm

2017 ◽  
Vol 27 (14) ◽  
pp. 2201-2210 ◽  
Author(s):  
Elsie Breet ◽  
Jason Bantjes
Keyword(s):  
Substance Use ◽  
Case Study Research ◽  
Urban Hospital ◽  
Adaptive Function ◽  
The Past ◽  
Multiple Case ◽  
Self Harm ◽  
The Relationship ◽  
Analyze Data

Few qualitative studies have explored the relationship between substance use and self-harm. We employed a multiple-case study research design to analyze data from 80 patients who were admitted to a hospital in South Africa following self-harm. Our analysis revealed, from the perspective of patients, a number of distinct ways in which substance use is implicated in self-harm. Some patients reported that substance intoxication resulted in poor decision making and impulsivity, which led to self-harm. Others said substance use facilitated their self-harm. Some participants detailed how in the past their chronic substance use had served an adaptive function helping them to cope with distress, but more recently, this coping mechanism had failed which precipitated their self-harm. Some participants reported that substance use by someone else triggered their self-harm. Findings suggest that there are multiple pathways and a host of variables which mediate the relationship between substance use and self-harm.

Child psychoanalytic psychotherapy: a single case study

2017 ◽  
Vol 31 (1) ◽  
pp. 75-93 ◽  
Author(s):  
Vera Regina Röhnelt Ramires ◽  
Lucia Belina Rech Godinho ◽  
Cibele Carvalho ◽  
Marina Gastaud ◽  
Geoff Goodman
Keyword(s):  
Single Case ◽  
Psychoanalytic Psychotherapy ◽  
Single Case Study

The Self-report of Andi

2006 ◽  
Vol 11 (2) ◽  
pp. 283-292
Author(s):  
John Woods
Keyword(s):  
Young People ◽  
Residential Treatment ◽  
Antisocial Behaviour ◽  
Young Person ◽  
Therapeutic Change ◽  
The Self ◽  
Self Report ◽  
Psychoanalytic Psychotherapy ◽  
Therapeutic Regime ◽  
Self Harm

This fictional account of a teenage girl's treatment is based on the author's experience of working with troubled young people. He shows how cases of self-harm and antisocial behaviour can be helped not only by an understanding of the intrapsychic world, but by a therapeutic regime based on psychodynamic principles. In residential treatment there are opportunities for adolescents to learn from relationships with staff, peers and educational input but sometimes they are wasted by the repetition of abuse. While psychoanalytic psychotherapy by itself may be insufficient for a young person in need of a more comprehensive residential treatment, nevertheless psychodynamic concepts may make significant contributions to the process of therapeutic change.

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