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Groddeckian Interventions In Medical Settings

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Abstract

We present Groddeckian psychoanalytic psychosomatics in practice through two case studies. Groddeck pioneered the application of psychoanalysis to organic diseases, but his ideas have not been explored adequately. It is necessary to reappraise his concepts to develop their potential in psychoanalysis. We aim to demonstrate the efficacy of the Groddeckian approach by presenting two cases: a case of conversion of a boy who entered a semi-comatose state due to unattended emotional experiences and a man who developed a “sick role” resisting all medical interventions. In both histories, it is possible to see how disease and subjectivity intertwine in a complex unity of mind and body.

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References

  • Alexander, F., Eisenstein, S. & Grotjahn, M. (Eds.) (1995). Psychoanalytic pioneers. Piscataway, NJ: Transaction Publishers (Original work published in 1966).

    Google Scholar 

  • Ávila, L.A. (1998). Isso é Groddeck [It is Groddeck] (p. 198) São Paulo: EDUSP [University of Sao Paulo Press].

    Google Scholar 

  • Ávila, L.A. (2002). Doenças do corpo e doenças da alma—Investigação psicossomática psicanalítica [Soul diseases and body diseases: Psychoanalytical psychosomatic investigation] (p. 248) São Paulo: Escuta (Original work published in 1996).

    Google Scholar 

  • Ávila, L.A. (2003). Georg Groddeck: Originality and exclusion. History of Psychiatry, 14 (1), 83–101.

    Article  PubMed  Google Scholar 

  • Ávila, L.A. (2006). Somatization or psychosomatic symptoms? Psychosomatics, 47 (2), 163–166.

    Article  PubMed  Google Scholar 

  • Ávila, L.A. (2007). Body and meaning. International Forum of Psychoanalysis, 16 (1), 43–48.

    Article  Google Scholar 

  • Barsky, A.J. & Klerman, G.L. (1983). Overview: Hypochondriacs, bodily complaints, and somatic styles. American Journal of Psychiatry, 140, 273–283.

    Article  PubMed  Google Scholar 

  • Berman, E. (2007). Call of the wild. American Journal of Psychoanalysis, 67 (3), 211–220.

    Article  PubMed  Google Scholar 

  • Biancoli, R. (1997). Georg Groddeck, the psychoanalyst of symbols. International Forum of Psychoanalysis, 6 (2), 117–125.

    Article  Google Scholar 

  • Dimitrijevic, A. (2008). Definition, foundation and meaning of illness: Locating Georg Groddeck in the history of medicine. American Journal of Psychoanalysis, 68 (2), 139–147.

    Article  PubMed  Google Scholar 

  • Freud, S. (1923). The ego and the it. Standard Edition, (Vol. 19, pp. 12–66). London: The Hogarth Press.

    Google Scholar 

  • Gottlieb, R.M. (2003). Psychosomatic medicine: The divergent legacies of Freud and Janet. Journal of the American Psychoanalytical Association, 51 (3), 857–881.

    Article  Google Scholar 

  • Groddeck, G. (1961). The book of the it, V.M.E. Collins (Trans.). London: Vision Press (Original work published in 1923).

    Google Scholar 

  • Groddeck, G. (1977[1917]). Psychic conditioning and the psychoanalytic treatment of organic disorders. In G. Groddeck & L. Schacht (Eds.), G. Mander (Trans.), The meaning of illness. Selected psychoanalytic writings (pp. 109–131). London: Maresfield Library.

    Google Scholar 

  • Groddeck, G. (1977). The meaning of illness. Selected psychoanalytic writings, L. Schacht (Ed.), G. Mander (Trans.). London: Maresfield Library.

    Google Scholar 

  • Groddeck, G. (1978). Conferences psychanalytiques a l’usage des malades, R. Lewinter (Trans.). (Vol. I) Paris: Champ Libre et Roger Lewinter.

    Google Scholar 

  • Groddeck, G. (1979). Conferences psychanalytiques a l’usage des malades R. Lewinter (Trans.). (Vol. II) Paris: Champ Libre et Roger Lewinter.

    Google Scholar 

  • Groddeck, G. (1981). Conferences psychanalytiques a l’usage des malades R. Lewinter (Trans.). (Vol. III) Paris: Champ Libre et Roger Lewinter.

    Google Scholar 

  • Groddeck, G. & Freud, S. (1977). Correspondence. In G. Groddeck & L. Schacht (Eds.), G. Mander (Trans.). The meaning of illness. Selected psychoanalytic writings (pp. 31–108) London: Maresfield Library.

    Google Scholar 

  • Grossman, C.L. & Grossman, S. (1965). The wild analyst: The life and work of Georg Groddeck. New York: George Braziller.

    Google Scholar 

  • Grotjahn, M. (1945). Georg Groddeck and his teachings about man's innate need for symbolisation: A contribution to the history of early psychosomatic medicine. Psychoanalytic Review, 32, 9–24.

    Google Scholar 

  • Haefner, S. (1994). Georg Groddeck: Vater der Psychosomatik. Zeitschrift fuer Psychosomatische Medizin und Psychoanalyse, 40 (3), 249–265.

    Google Scholar 

  • Langan, R. (2007). Embodiment. American Journal of Psychoanalysis, 67 (3), 249–259.

    Article  PubMed  Google Scholar 

  • Mészáros, J. (2009). Contribution of Hungarian psychoanalysts to psychoanalytic psychosomatics. American Journal of Psychoanalysis, 69 (3), 207–220.

    Article  PubMed  Google Scholar 

  • Parsons, T. (1951). The social system. Glencoe, IL: The Free Press.

    Google Scholar 

  • Poster, M.F. (2009). Ferenczi and Groddeck: Simpatico. American Journal of Psychoanalysis, 69 (3), 195–206.

    Article  PubMed  Google Scholar 

  • Rudnytsky, P.L. (2002). Reading psychoanalysis. Freud, Rank, Ferenczi, Groddeck. Ithaca; London: Cornell University Press.

    Google Scholar 

  • Schacht, L. (1977). Introduction. In G. Groddeck & L. Schacht (Eds.), G. Mander (Trans.), The meaning of illness. Selected psychoanalytic writings (pp. 109–131) London: Maresfield Library.

    Google Scholar 

  • Usandivaras, R.J. (1979). Georg Groddeck: A pioneer in the integration of the body with the mind. Medicina, Buenos Aires, 39 (1), 133–144.

    Google Scholar 

  • Van Egmond, J.J. (2003). The multiple meanings of secondary gain. American Journal of Psychoanalysis, 63, 137–148.

    Article  PubMed  Google Scholar 

  • Will, H. (1987). Georg Groddeck. Die Geburt der Psychosomatik. Muenchen: Deutscher Taschenbuch Verlag.

    Google Scholar 

Download references

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Correspondence to Lazslo Antonio Ávila.

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1Ph.D., Professor at the Medical School of Sao Jose do Rio Preto, Brazil, Department of Psychiatry and Medical Psychology; Analyst and Supervisor at SPAGESP (Group Analytic Society of Sao Paulo State, Brazil) and at NESME (Centre for the Study of Mental Health and Psychoanalysis of Link Configurations, Brazil. Member of the Brazilian Psychosomatic Medicine Association).

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Ávila, L. Groddeckian Interventions In Medical Settings. Am J Psychoanal 71, 278–289 (2011). https://doi.org/10.1057/ajp.2011.24

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