The study of phobic and anxious states in childhood, as they first emerge developmentally, puts us closer to the origins of psychic anxiety. The intent of this chapter is to make a contribution to the integration of empirical and clinical data with theoretical understanding of the meaning of phobic and anxious states.
Download Author: Lombardi, Karen L., Ph.D.
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Depressive States and Somatic Symptoms
Both research and clinical data suggest that somatic symptomatology is a frequent correlate of depressive states. Classic psychoanalytic theory has attempted to address the mind-body dualism common in Western thought by regarding somatization as an unconscious expression, through bodily discharge, of thoughts and feelings unacceptable to the individual. Developmental and object relations perspectives tend to relate somatization to problems with the ability to contain depressive affect. The somatic defense serves to mitigate the guilt, blame, and self-hatred that arise when depressive affect cannot be tolerated in the individual. (27 pgs)
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