Psychosis in autism

IF 0.4 Q4 PSYCHOLOGY, CLINICAL JOURNAL OF CHILD PSYCHOTHERAPY Pub Date : 2022-05-04 DOI:10.1080/0075417X.2022.2086283
Ruth S Weinberg
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引用次数: 1

Abstract

ABSTRACT This article discusses a unique form of withdrawal observed in children with ASD, using a detailed case study. This withdrawal can be understood as linked to a psychotic organisation, in addition to the autistic aspects and early developmental difficulties in the sense of self. A child on the spectrum with psychosis makes for a unique case, because the psychosis rests on an early developmental impairment. In such cases, a fragile self uses disintegration of the mind as a mechanism that enables blurring of the self. This defence mechanism is different from Tustin’s ideas about the autistic sensory blurring of the self through autistic objects and shapes. If this psychotic mechanism becomes fixed, it creates unique anxieties regarding the lack of self-nuclei. The constant projection of large parts of the self into outside figures creates a fear of rapid form transformation and poses unique challenges in analysis. A clinical example is given to illustrate these momentary states.
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自闭症患者的精神病
摘要本文通过一个详细的案例研究,讨论了在ASD儿童中观察到的一种独特的戒断形式。这种退缩可以被理解为与精神病组织有关,此外还有自闭症方面和自我意识的早期发展困难。患有精神病的儿童是一种独特的情况,因为精神病是由早期发育障碍引起的。在这种情况下,脆弱的自我利用心灵的解体作为一种机制,使自我变得模糊。这种防御机制不同于图斯汀关于自闭症通过自闭症物体和形状来模糊自我的想法。如果这种精神病机制变得固定,就会产生对缺乏自我核心的独特焦虑。自我的大部分不断投射到外部形象中,这让人害怕快速的形式转变,并在分析中提出了独特的挑战。给出了一个临床例子来说明这些瞬时状态。
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来源期刊
JOURNAL OF CHILD PSYCHOTHERAPY
JOURNAL OF CHILD PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-
CiteScore
0.70
自引率
50.00%
发文量
46
期刊介绍: The Journal of Child Psychotherapy is the official journal of the Association of Child Psychotherapists, first published in 1963. It is an essential publication for all those with an interest in the theory and practice of psychoanalytic psychotherapy and work with infants, children, adolescents and their parents where there are emotional and psychological problems. The journal also deals with the applications of such theory and practice in other settings or fields The Journal is concerned with a wide spectrum of emotional and behavioural disorders. These range from the more severe conditions of autism, anorexia, depression and the traumas of emotional, physical and sexual abuse to problems such as bed wetting and soiling, eating difficulties and sleep disturbance.
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