抑鬱神経症の精神病理 : 精神分析学的観点より
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H, Will divided depression into five types on the basis of the principal emotion of the depressive patient, using a phenomenological approach. He discussed theses five types of depression in a comprehensive manner, using conventional psychoanalytical theories of depression. The author recently analyzed a 28-year-old woman with a depressive neurosis who visited our clinic. In this paper, the author discussed the psychopathology of her depression acording to H. Will's approach. The type of her depression was seen as the oral-dependent depression and narcissitic depression, which H. Will divided. It was found that her relationship with her father was based on the oral collusion and the narcissistic collusion, as defined by J. Willi. As long as she remained dependent on her father, she would receive the oral care and support from him. On the other hand, to satisfy her narcissistic demands, it was necessary for her idealized father to agree with her higher-than-actual self-esteem. It was therefore difficult for her to accept her non-idealized father. When she adapted an disobedeint posture toward her father, or when her speech or behavior differed from those her father had expected of her, her father got very angry with her, resulting in her inability to receive the oral or narcissistic satisfaction she craved, and this led to the onset of depression. In this case, her superego formation was insufficient. Her ego ideal was formed of an idealized image of her father, and her self-image maintained at a high level, too. Her inability to live up to this ideal self-image probably caused her to become depressive.
- 神戸大学の論文
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