The authors claim that psychoanalysis is the best treatment for severely ill adolescents. Their approach is centered on the developmental breakdown having taken place after puberty transformations leading to a pathological state. Such a breakdown prevents the adolescent from integrating gradually the sexually mature body in his psychological reality, thus conditioning a breakdown in his relationship to reality. These adolescents behave in a defensive psychotic behaviour without its being a true and definite psychosis. The developmental breakdown were to be re-lived along the analysis in the form of a ÇÊtransference breakdownÊÈ offered to severely ill adolescents.
The psychoanalysis of a severely ill 17 year-old adolescent boy illustrates some characteristics of the treatment after a developmental breakdown. I insist on the necessary (re)construction of the fantasies that were « blanked » by the traumatic enactments, as well as on the unavoidable psychotic transference.
Adolescence, 2009, T. 27, n°1, pp. 199-216.
This paper explores some of Moses Laufer’s developments of Freudian ideas on puberty and adolescence. His concepts of developmental breakdown in adolescence and central masturbatory fantasy are discussed with emphasis on their clinical usefulness. The case of a young adult with a postponed adolescent breakdown is presented, in which an obsessive-delusional idea is seem as containing the derivatives of a central masturbatory fantasy.
Adolescence, 2009, T. 27, n°1, pp. 53-63.