Zollinger R
Prax Kinderpsychol Kinderpsychiatr. 1997 Dec;46(10):727-31.
The author describes the psychotherapy of about 2 1/2 years duration of a 14-year old boy. This psychodynamically oriented psychotherapy dealt with the aftermath of two disasters in his family: The accidental deaths of two older brothers five and four years ago. These events had a lasting effect on the family which negatively interfered with the achievement of developmental tasks in adolescence in the patient. He had erected massive defenses against his own wishes and became withdrawn and depressed. The main issues dealt with in therapy were: (a) The boys fear to step out of his position as the families "child" in consideration of his grieving mother. (b) The boy's difficulty to tolerate and integrate aggressive fantasies and feelings because of his guilt feelings and fear of another loss due to these fantasies and feelings. The working through of conflictual issues in psychotherapy enabled the boy to gain awareness regarding his own needs and wishes, and to find ways to fulfill them. Subsequently, he succeeded in making an adequate professional choice and to go into training for it.
作者描述了对一名14岁男孩进行的为期约两年半的心理治疗。这种以心理动力学为导向的心理治疗处理了他家庭中两场灾难的后果：五年前和四年前两个哥哥意外死亡。这些事件对家庭产生了持久影响，对患者青春期发展任务的完成产生了负面干扰。他对自己的愿望筑起了强大的防御，变得孤僻和抑郁。治疗中处理的主要问题包括：(a) 考虑到悲伤的母亲，男孩害怕走出自己作为家庭 “孩子” 的角色。(b) 由于内疚感以及担心因这些幻想和感受而导致再次失去，男孩难以容忍和整合攻击性幻想及情感。通过心理治疗解决冲突问题，使男孩能够意识到自己的需求和愿望，并找到实现它们的方法。随后，他成功地做出了合适的职业选择并为此开始接受培训。
