The Psychosomatic Economy of Infantile Asthma
This paper attempts to explain some practical points arising from psychotherapy of a child presenting with an evolving asthmatic illness. It is essential to this writer from the point of view of both the therapy to be adopted and the prognosis. What to do in such a case is the theme. Medically speaking, nothing distinguishes one of these children a priori from another. They all present with severe asthma requiring powerful anti-inflammatory medication, and even periods in resuscitation. Yet within this nosographic classification that one might have believed to be homogenous, there exist significant differences regarding the mental structure of these individuals leading us to abandon the traditional cliche which constitutes the profile of the asthmatic common in certain circles. The psychosomatic economy regarding the individual evolution and movements of organization, disorganization, and reorganization that it implies to all functional levels, isolates a central evolution chain, place of major fixations and regression; lateral evolutive chains of lesser importance but which join the central common stem, and finally, parallel dynamics which theoretically remain isolated and do not participate in the organization of the second topic. Three clinical cases illustrate the three structural, evolutive possibilities which normally present themselves to the observer.
KeywordsMental Structure Parallel Dynamic Evolution Chain Evolutive Possibility Unusual Perception
Unable to display preview. Download preview PDF.