The two principal elements comprising this thesis are 1) a description of the development of a theory concerning schizophrenic psychosis and 2) an attempt to develop a treatment strategy based on this theory. The theory was developed by Palle Villemoes on the basis of the French psychoanalyst Lacan's work and may be described as an ego-structuring psychotherapy with its foundation in the castration complex. The psychosis is seen as a consequence of the child's inability, for various reasons, to a apt itself to symbolic castration - i e disappointment and frustration over not constantly having its own way, and over being required to subordinate itself to universal principles and authorities. The psychotic person has not subordinated under symbolic is castration but continues to exist in the original symbiotic relation with the imagined pre-oedipal mother, When the pressures of the teenage and early adult years make themselves felt, such an ego-weak person is unable to withstand and deal with them and develops a psychotic relation to her/his surroundings, The- treatment strategy described in this thesis, was developed by the author and colleagues at the treatment centre Norrgården in Härnösand. It is a milieu therapyoriented treatment during which the patient optimally passes through three phases. During the first - narcissistic - phase the aim is that the patient's contact person develop such a relationship with her/him that "idolization" of the contact person occurs. This idolization is achieved by means of interest on the part of the contactperson, and a non-polarized attitude. The contact person shows interest in the patient and in her/his situation, life-story and interests. The non-polarized attitude means that little or no importance is attached to differences, particularly those due to gender and power position. The contact person avoids provoking the patient in areas about which she/he is sensitive. When a balanced, conflict-free relationship with the patient bas been achieved, treatment moves into a so- called working phase. Now the establishing of her/ his own history in the patient takes over from the idolization built up in the course of the close relationship. The patient is to become the subject of her/his own life-story, to achieve which patient and contact person go through the story together. If all goes well the patient passes through the castration complex and is able to find a realistic place for her himself in the story, the culture, and the society that has to be lived in with all its relations towards other people. The patient now begins to view her/himself, with both possibilities and limitations, more and more realistically. She/he also begins to show interest in the future and in plans for a life after treatment. In the final phase, progressively more responsibility for decisions is left to the patient. The aim of this phase of the treatment is to consolidate the narcissism of the patient's own ego. She/he must be released from the symbiotic dyad with the contact person who now leaves it to the patient to make choices and decisions and to be aware of the passage of time. The thesis discusses the development of the theory in a dialectic relation to the practical experiences of treatment work during the earliest years at Norrgården. A central place in the thesis is occupied by 11 case descriptions of the first patients who completed the treatment at Norrgården. / digitalisering@umu

Made available in DSpace on 2016-06-02T20:13:09Z (GMT). No. of bitstreams: 1 2244.pdf: 1249648 bytes, checksum: bdea8a2d0e86f56a36ec1da7651f7a2d (MD5) Previous issue date: 2009-02-10 / Studies about woman and about femininity, inside the psychoanalytic field may follow some very different rumors. The theme is enclosed by polemics and contradictions, once the after-Freud authors such as Klein, Brunswick, Bonaparte, Muller, Horney, Jones and Lacan introduce different points of view and disagree, even in the interpretation, with what Freud presented in his works. This survey aims to bring back the Freudian theory about woman and femininity, as well as solve some theoretical conflicts based on the misinterpretation of his texts. For a better understanding of the problem a brief description of the historic track of the theories about woman and femininity in the psychoanalytic stroke was accomplished. Among the said authors, stand out Lacan, for his innovations in the femininity conception and the feminine enjoyment. However, the mean objective of this work is Freud´s theory, that led him up to clinic studies. Hysteria, phobia and obsession are the pathologies found in the woman analised by Freud and that are part of this work. Each one of these diseases show a different logic in the production of symptoms, however all of them contribute to the construction of a theory about the feminine. In the works that talk about social themes antrophology, artistic and literary, Freud define the woman´s place in the social function, as well as he claim his point of view about the subject. References of femininity can be found in seductive and dangerous women as Medusa; and at the same time in feminine figures that represent love and fertility. Freud describe women as defenders of the familiar institution, that sometimes do not consider the social rules. This way of being, typically feminine hasn´t appeared just because of the culture of a civilization but also because of the sexuality. So, Freud´s text about feminine sexuality are also very import sources of woman conception. The castration complex, appeared with the investigation about the anatomic difference between the sexes and caused psychics consequences that brought the self satisfaction. So, the idea that Freud had created a falocentric theory in which the woman is always subordinate to her husband came on the scene. Trying to take part in this critic about the Freudian model, Birman propose a new view about the femininity. The definitions about feminine, though, can lead the psychoanalysis and the psychoanalysis philosophy theorists as David-Ménard to study about the universality of the femininity construction in Freud and Lacan. Thus, the study about femininity and the woman is led to a way across the Freudian work and includes experience in the psychosexual and cultural environment education. / Estudos sobre a mulher e sobre a feminilidade, dentro do campo psicanalítico, podem seguir rumos muito diferentes. O tema é cercado de polêmicas e contradições, já que autores pósfreudianos como Klein, Deutsch, Brunswick, Bonaparte, Müller, Horney, Jones e Lacan, apresentam versões diferentes e discordam, até mesmo, na interpretação do que Freud teria afirmado em sua obra. Esta pesquisa tem como objetivo realizar um retorno a teoria freudiana sobre a mulher e a feminilidade, a fim de solucionar possíveis conflitos teóricos, que tiveram origem na má interpretação de seus textos. Para melhor contextualizar o problema, foi realizada breve descrição do percurso histórico das teorias sobre o feminino no movimento psicanalítico. Dentre os autores citados, destaca-se Lacan, por suas inovações na concepção da feminilidade e do gozo feminino. Porém, o principal interesse deste trabalho é a teoria de Freud, o que levou ao estudo dos seus casos clínicos. Histeria, fobia e obsessão são as patologias encontradas em mulheres que Freud analisou e que fazem parte deste trabalho. Cada uma destas doenças apresenta uma lógica diferente na produção de sintomas, porém todas contribuem na construção de uma teoria sobre o feminino. Nas obras que tratam de temas sociais, antropológicos, artísticos e literários, Freud define o posicionamento da mulher em sua função social, assim como realiza afirmações marcantes sobre sua visão acerca do assunto. Encontram-se referências da feminilidade em figuras sedutoras e perigosas como a Medusa; e ao mesmo tempo, em figuras femininas representando a amor e a fertilidade. Freud descreve as mulheres como defensoras da instituição familiar, a ponto de negligenciarem as normas sociais. Esta maneira de ser, tipicamente feminina, não seria fruto apenas da cultura de uma civilização, mas segundo Freud, também tem origem em sua representação da sexualidade. Assim, os textos de Freud sobre a sexualidade feminina também são importante fonte das concepções sobre a mulher. O complexo de castração, advindo da investigação sobre as distinções anatômicas entre os sexos, gera conseqüências psíquicas que trazem uma forma de satisfação pulsional própria. Surge, portanto, a idéia de que Freud teria construído uma teoria falocêntrica, em que a mulher fica sempre na subordinação ao masculino (fálico). Procurando adentrar nesta crítica ao modelo freudiano, Birman propõe um novo olhar sobre a feminilidade, colocando-a como sexo originário. As definições de feminino, no entanto, podem levar os teóricos da psicanálise e da filosofia da psicanálise como David-Ménard a um estudo sobre a universalidade na construção da feminilidade em Freud e Lacan. Assim, o estudo da feminilidade e da mulher levam a um percurso por toda a obra freudiana e envolve a formação psicossexual e ambiente cultural.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal