Psychoanalysis and Paediatrics: Key Psychoanalytic Concepts by Francoise Dolto

By Francoise Dolto

This booklet is Françoise Dolto’s 1939 clinical thesis and is devoted to clinical practitioners, paediatricians, and fogeys with out earlier wisdom of psychoanalysis. Françoise Dolto’s objective was once to sensitize humans to the subconscious dimensions of many difficulties in young children. She demonstrates the following, via 16 case stories, how usually children’s problems in school and at domestic – be they behavioral or as a result of impaired studying skills – are the expression of mental matters associated with their constructing sexuality and castration anxiousness, and bring about actual indicators corresponding to enuresis and encopresis.

Dolto issues out that the notice of the self and self-responsibility frequently develops for youth in households within which the oldsters don't know the best way to pay attention or perhaps extra importantly can't be listened to with belief. there's additionally a precis of Freud’s theories of different phases of the evolution of the drives, in addition to the primary developmental function performed through the castration complicated, castration nervousness, and the Oedipus advanced.

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This now gives him the ability to imitate the adult, not only in his words but in all his gestures. He is active, noisy, brutal, aggressive not only towards objects which are within his reach, as during the oral stage, but which he grabs and tears, beats, throws down on the floor, just as if he were taking malicious pleasure, which is accentuated if he notices that it annoys the adult. The identification has been successful. It is because he loves the adult that he plays at being annoying and fighting with her.

This mechanism, however annoying during treatment and even for the dissemination of psychoanalytic ideas, nevertheless has its uses; it keeps the personality in equilibrium. It suffices to think of the discharge of libidinal force which is expended, for example, during an acute manic crisis, to understand how the strict governance of the superego is helpful in making sure that the drives of the id are not too liberally removed from its control. Consequences for psychoanalytic technique This is why psychoanalytic method aims to circumvent repressive mechanisms and not what has been repressed.

The domination of general development by libidinal development explains its unavoidable corollary in the adult: a functional problem in the genital sphere is necessarily linked to behavioural and emotional problems and, conversely, psycho-emotional problems are always accompanied by typical sexual traits. This is why, in terms of the complexity of symptoms observed when a patient comes for a consultation, any therapy that aims to hinder or lessen the presenting symptoms will have only a palliative effect.

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