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A Study on Regression occurring during the Course of Recovery from an Acute Psychotic Episode in an Adolescent Schizophrenic Patient Youichi Inoue 1 , Akihide Kitamura 1 1Department of Neuropsychiatry, Osaka University Medical School Keyword: Postpsychotic phase , Regression , Transitional object , Adolescent schizophrenia pp.279-286
Published Date 1985/3/15
DOI https://doi.org/10.11477/mf.1405203907
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 1. This case comes under the category of "ambulatory schizophrenia" by which Kasahara et al. mean schizophrenia treatable in ambulatory clinic. 2. The term postpsychotic regression usually stands for postpsychotic exhausted state. In contrast, the regression in this particular case presented was different from usual post-psychotic regression. It is because, occurring during the course of rehabilitation, the patient was able to overcome critical situations. 3. Aggressive behavior occurred toward the patient's family, when her needs for dependency were frustrated, or when she was overloaded with social tasks. The patient could not control her aggression, nor could she obtain emotional stability by herself. All she could do was to depend totally upon her family. From object relational view-point, self and object were not differentiated. 4. Two stuffed dolls expressed her two incompatible needs which she could not integrate by herself. In the course of recovery from psychotic episode, the patient had to meet two tasks. One task expressed through one of the two dolls was to rest in a cared-for environment, and the other expressed through the second doll was to involve herself into social activity. 5. Two stuffed dolls played the same role as the "transitional object" of Winnicott, D.W. The appearance of the two stuffed dolls on the scene showed transition of her object relation from one-body relationship to two-body relationship. In the course of recovery from acute psychotic episode, object relation developed from undifferentiated state to more differentiated state. Consequently, the treatment of this patient was in tune with the object relation theory. The patient was treated according to her object relation level. 6. The patient was put in a crucial situation, because she had started social activity without getting rid of the symptoms belonging to the first half of the recovery phase of Nakai's classification.


Copyright © 1985, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院

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