Psicoanalisi pratica per terapeuti e pazienti

170 Pages·2007·2.135 MB·Italian

by  Owen Renik

OwenRenik
PSICOANALPIRSAIT ICA
PERT ERAPEUTI
E PAZIENTI
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Raffaello
Cortina Editore
www.raffaelloc:ortina.it
Titoolroi ginale
PractilPc saychoan/aolrTy hseirsia spatnsd P atienls
© 200O6w enR enik
Traduzdiio ne
SeaMna rkP,i nAan tinucci
ISB9N7 8-88-60.30-14.3-7
© 200R7a ffaeClloor tiEndai tore
Milanov,iR ao ss4i ni
Primead izi2o0n0e7:
INDICE
Capitlo lo
Psicaolpaiarnstii ca 7
Capit2o lo
Sintemo imgil iosrianmteonmtaot ologico 13
Capli3ot o
Domanutdiel i 19
Capi4t olo
Monitiob refiancretiee rapeutici 27
Capitolo5
Proceadbleu ori e 39
Capi6t olo
Giocaca artrese c otpee r 53
Capitolo?
Rimanneerlre ea le 61
Capi8t olo
Ip eridceolnlleiau tralità 71
Capitolo9
Il imdie'tlatiluo cioesncza 79
Caplio1t0 o
Actoiunetgde nactment 87
5
Indice
Capi1t1o lo
Comues cdiaur n'ei mpasse 95
Capi1t2o lo
Pazicehvneot gil diiosntor lucagu grear e 103
Capit1o3l o
Strpeossst -traumatico
111
Capi1t4o lo
Fobie 121
Capi1t5o lo
Paneis ceon sadzsirit aonniia mento 129
Capi1t6o lo
Preoccuveprasrzuiism oonris i 135
Capi1t7o lo
L'Edirpiov isitato 143
Capi1t8o lo
Desiedp eortieor e 151
Capi1t9o lo
Perssoingen ificative 159
Conclusione 167
6
l
PSICOANALPIRSAIT ICA
lit ermpsiioncaeni asprlia tsiecmab orrame asis uenor ses imino ro,
qualnmtaoo dlaidtiaàt r icoldaezlliao pncsceuio raan allraie tnidcea
estremnanom-eapntrtineco asn:o i dasdi,fna ft,t biiio sgndie lmlaag ­
gipoartrde e pio tepnzzaiineatÈlic i.o mprecnhsleipe be irlseos nie che
rivolapgiro onfoe sdseillsoaan liustteid emseiinndtuoean rtlaee r apia
ing raddioo ff riimlras es ismool ldiaue ndv ios teumrobtnoie pvlio ù
bretveem ppoos sPiebcrio lnelt.par so oi,aac nlcilsiisn piior cpao inne
grpaant rceo muenl unpgeor cdociro snoo sdcise énn,elza l'at traa­vers
rileq uaslriei tcioennter oprpordeuoccecenuctpceae rsssiid vealm ente
migliosrianmteonmtcaoo"t .oCo nloossgciièle" br' eiottpirvion cipale;
ib enetfeirucatiipis econdoii mporsteacnozinaead s, ae rmm,c asiii
aspcehtseto ap raggsioulnoig placa naosornsd e et le mpo.
Nocn' dèas tupqiurdisicni,hi, evl a sptuobl bipcoose ssasa ervrraei­
taoc onsildpaeis rcaoraecn oamlueinp saari t eiscoat cehrpeior cmau o­
veu na'ttitauurdteiofneer deifun gzai adlraeeàl ap,lli atu tcthoes tuon
metodcou irdgnair addaioi uitplaa irzeena vt iev iemnro ed pois ùo d­
disfalcpaoer prnitvtaeia C.o mpeue rn ocn' dèas tupcihiretns u it to il
monudnon umoes rempmrien odrpize ai ernitciao llrcaru apr sai coa­
natli,ic caeh ter qau emsotlist iiaa nsoap niptrsici oanaolpipesu tri
"ocmpadgvini ia "gc ghineou truonin not eirnetseslepl eeqrtu teu­ale
stdai scaiA.pr laiigon,nq eui,nl pdas ioiacnaclliièsnd iii cvae ntata ma­
terdi'laeelzedi eolvnlieeg ndeeNtlet wYe o rker.
Quesitneacs rcsiioatszuai hoand ee'l oilnrcios,es tii ened eclo nto
fatcthloepa s icloidasenivla seau oar ipgoripnireao l sluaea f fictaec­ia
rapiecuNate.l cdeolrllsoreorci oe hreBc,r eeuF erre suiidm beartotno
inu n mepteolrdca ou dreasi i ntiosmtine ortiocrii amednat e difficili
traete st,ea brbFernefeuo dsu snseoc ridtnito otrefeva oslecec i rn-eoa
7
Psicoanaplriastipi ectrae rapeep uatzii enti
tiitvcàh,ae r raif vroòm uliaproelt uensgii msiurlcalunalt tesi uu rlal a
socoiletctrhàsee ua lp lsicoilnoidgdiaiuvl,aae l li'nifzuiropo ornproi o
glsit raorridsiutnleatrraaitp cieh uoett itceiinn,ns eiaB e rmeeua edar t,­
tirlat'rtaee ndzeilo nmeso udnl idu Riois .u ltteartaipc ehutetrl,aia 'lc ­i
trroi,u saoc titveapn ieurtert aopsitdoai mnnee ntcttoeon, t croalnse t o
aspetdteagptlsiiiv ceo daen'laellpiosctai.
Coplsa sadreega lninl ipas, i cosaèinp arloigsrie ssalilotvnaam­ente
nadtaasl up or ogientitczohi veael deie mlvi ag liosrianmteonmtaot olo­
gico dqeusaildeee sridatebolit lleaeir aamp,e ntsèrir e i vcoolintn at e­
ressseem mpargeg aiq oureecl hlèeuo n o bieptattriicvooesl paerceifi ­
camente psicola"n'ailnfiisntaieis g csehot t:e."C s oosfstoaìtc eenne­re
dog,l i psincosonoa slnooand loii vsetinirt raitlpiee ivrsla o dnditsif aci­
mendteobi i sodgenllmiaa ggpiatoredr e lpleer smoanc,eo mèes toa t
sottodlami onlcetraiit,h to ai ncpnieor scionmop rolmpaes siscoo analisi
comset rumdeiinn tvoe stsicgiifiaecz.nCai toomnèeep ossdiebtielrem i­
nalrvaea lidde'ilitlhnàtsL' i?ig nssiugplhsltia c odlepolaig nzeitare a,g ­
giucnotlnoca o llabdoer'llnaaazlaiièo,is n ntee vitaibnifllumeennztaet o
datlleao drqiiu saet l'mtuoiP.et ran,tm aoe ncohn eo snci o nvlan'lsiiid­i
ghttar miltsaeu c ao rarzeilcoonnem iiiglol ramseinnatttooo mlogico
(ucnr itpeelrrvai a ol utdaezriii osnusele tnrazitami aa nlltdaei io ,ars )i
finipsecires tiutnsu iisrtcehes imoaua,l l'idneqtlue airnslloue c cdeis so
un'anaclliiscnioi ncsai stnee llspacr ooappd erapri attorde e lcloap pia
analdiqitu iacllacca ou esisa i sèts etnaztaa ap arsisdouarnllilt' tiaaas n.a
Lap siconaon-napalrtièias cniac p hsei conaon-naislecincstaii. fi
Lap soiacnaclnliiihscaipa e risslou o vpaarltoimrcaneo o ,èn c osì
chdeo vreesbsbPeeer preor .pr oraepi a izeunntpaiis coapnaratliicsai,
tuvtitaga,lp is icoannopanol sisslotinimo ia tc aornrsdrliueca u braa­
sandsoucs oin osacceqnuzTieas niptteocer o. m iene,cs isair non pos­
sonaoti tbruirep atmrilecairao ridat lici unns idepimor ec ed-uurseo
delle t,ft rienqoudeenlszleaed, u atodde iriitmlte utrodade oll lieeb er
assoico.inQ aiuzesstoent oe cn-iec hpneore glr esssviivldoui p po
qualspirvaoctglilicisnaaci icean tiffinocdaalmtteeae n ctnpeio cshseo ­
noc ambeia,an hrcei nm aniecrlaa msoacr,ool n' caucmrusldiaie v­i
denezmeipi rchael;cd uqinu ee tsentciec shdiei mosvtarlaein dvoee n­
gonmoan tenaulttiern,eev c,ce a,od niond isuPeseros .e m,sp oiloo
duecaennfntlaios a c ienzpa iaùmv ezadanistcotaase ncehvieasl a ­las
sac olnse anguioc soulngfla h eeb ecftsoosmpeiat ared i u ne fifcea c
metopdelorcau rdae lmlagag ipoatrrde e lmlael aQtutaiseii.p at­utti
ziecnhcteoi n sulutnma evdaivnceoon i svoatntooa splao lsatOsirs aa .
sappbieanmeo qquuaetnsetticoacnp ar,a tpiecra tsdaeam ciio gllii ori
8
Psicoanaplriastii ca
meidcfio,si sneup teilqreu atsuiitp tzaii eein mnto il ctaaisdd iii rttura
preilcoosamneovncati.e
Allsat essrtseags uiaa,pm ioae mnenatuet oraidaz szptaeacttcriih e
ltee cndiiuc nhpaes icaolcialsniisn ciicfieacn atmiefnnodtaest uab i­
scadneolm lodei ficcophlae s dsealr tpeetmrapnont;oo hn a a lcun
sencsoon sildpaes riacarloecia lsniicn oimcueanp raticionlsaireem e
dit echneNi.ec ppehu asr endseofi nciormulenap atricoilnasriee me
dtie ioepr,e racnhcéqh uee msuttee rcaopnlorn gor edseslsoilc eazn a.
Perfiicn oocn eet tpiiir n cpispiica oliaftnodinacmie lnaitn eadbrboe r
connutaimesnottet oaup nore sistaicm rei etp ioscsioa fmaoce inltme
immagcihnieaun,rl et aianmslaimi ,ol tdiei s ssair agnrnaod ualmente
consiodbesroaQltueiet sèict .io ò acvvhieen necela mdpeols lcea­in
zaP.s icaolapinrsaits iigcncaia fi maenruten'e anrpteumrean tianl e
relaazlitloeaino aenr, oa nt triabn uluelinvalda ol doairss ei aoe;ms i­
gnicfoincsae urvnaa propecr csipoe rimneecniot rnaoflndete ilt leac ­
ni-ccae recc,ai roè,p atqriuceomlle atroedl oa vdcoihrc eoo qnu le
patricoplzaaireceno tnes depino rtcae edv eerrgslooib iettetriavpie u­
tidceis iderati.
Sen osnpi u dòe finlipars ei aclopiarsnaint eitice ar mduiinn piaat ri­
coltaeroeort ieac nailclcaoo,rmp aeos sidaemfioln aUi?nr dae finizio­
ned elplsai coparnaastlpiiio csnaaipe a tridraselu a om biintvoe stigati­
voed asiu oobii eLteti isevcnisz.oae lm ietens ctil assiinbfi acasalen­ o
la'mbidtipo e rtienl esenc ziaea npzpeli inbc aastee aglciu io biettivi
mira(npeoes re oml,pc aih imsitdcuiiaac omspteoli fa ra maceutica
crmeead icuitniaalplipi,l ilcceao nndoos ccheinmzaiecc qhue)iL .sa i te
psiacloèial snsoit i usodc iendteilmfilecaneo tl epa,s icloicasnlniiia èc a
la'ppliiocndaeezl slcai epinsczoaaa lniatlitlceaar . a ppLisaai acloiasni
partèiu cnta r attfianmaelniatzdoaz iauetit polaza rieane tsesm eerneo
soefrfeenp tiseùo ddidseflsalutqaatu oo tidgiraaanzu iinmteaaà g,g io­
rec omepnrsidoepnlore p rfinuoz ionammeenntAltatolr ei.md eentt­i
toi,un np ercdopirs sioc opaarntacilocienass iif atvoo rilpe vaiozelnet e
èi gn raddrioi vevdaearrsiep d eetmlto idi on ccoursiut ilsrace ea el tà,
cofsaìc ernideoss ceen mtaei grlsiio .
Potrefimnmcaohna es sueum neparr osptertatdiivzsaie ognuaelne­,
do olremd eFi r eeua dg,g iucnhgepe srlieaac lopiaarsntiir ceanc doen ­
scciiocò h èei ncio.onT sutctasvveio ag,l cioanmatoeri a ndau dear ire
quefsotram ultaezoirdoioncbeab ,ie asmesdo ei rspaodas gtgii olran are
nosdterfian idzi"i ionnceo" nF.sr cesiuoods tecnhleepa vs ai cloiasnia
cliicpnaot rail cloas ccieeprnetzsniai cehrheia nlnpaoo tendzdiii a­lità
venciornems acc ihr,ei manignocniopo ne srcilcp hzaéi eènm toet ivato
9
Psicoanparlaitspiiect rae rapeep uat1.ii enti
an on prceonsdce-irqenuneez llaiF rcehhuaded e finpietnosr iie­ri
mososa in cihneco ndsiacinmoi Ecdoè v. ecrhoue n pas oiacnaprlaitsii­
car iudssico ilitimatp olin q iucaal mcihsecu hrieapl a izenstiieagn r­a
dod iid entiidfiesceea,nr tei rmiecncothriped er iec edentpeemre nte,
unm otoip veor umna natletfnrueoodv,raa ilp latarce o nsdceilsalu aa
menItneo.ul ntpara erm,to els tiog nidfiqicu aetcllihoave vva i enneell a
psicoparnaactloiincssanii e slptlreaed sica o snczidaeap, r atdee l pa­
zie,dn pite ensciheer sino onmnoas it raitomis psein,s cihseeer mip li­
cenmteiepl a zein eonantv emvaaai v ulot'pop tourndipite àn esp aerr­
cedteenmeQnuetsept.ei n ssiogerorndioa n uopvores pteiftvoer nite
da'allnal-eissptlai coii tmapmlaeimncetineitt net,e nzioon almente
noinn tenzeio-nnecalol rdmsuieon ni atn teismprala ozicooilnnp e a ­
ziebnatsesa,ut lla' imrpeecgifinpnora olcioaiz nzgdaaatrode i flfiec oltà
dell'analizzando.
Ino gni dgipr suipcpoo vaenn aesl oinasolt cicu hnceiu riap nao­
zieanptpil ilcpaas nidcoop aarntaiQlcuiaest.sie t ria apieuutitla ion roo
paziaeo ntttieb neenretefie cria pieplui rtùai pciid apmoebsnistIli ee .
pazisseien nttio nol qamu eagdlleiiltloloà,avr iomt iaig olerq au,e sto
cambiaèp meerncteodp ai baeimp liaecr ieP neqtrui e.gs lptiso i coana­
lipsrtaiat clio cnit,dr ealtrleiano d geennzleaehr ,aa npniorùc i hideis te
qutanene p osseafenftot ivepa ermnednietncr aer -ielc leoo srtoa nze
d'nlaaissoipn ioe dnpiea zicehnneot snio nnoéa nailfnio smrtaiz ione,
nép ersionnfeie nlciocriaa rg egsiptaeatarren e en a in innic uecr he
noanp poarltcasuniong nimfiicgaltiiovsroia nmtelonomtcgaooit .o
Sftournatteap,me, erg nòlpis icopaarntanilocisniso tnsioo lpiu­tbi
blicciizcòzhf aear nceno oinp azi;se ennttzriao cplpaom torrael ascia­
nom oltteeoe tr eicen piscihceo atnraaldiitezic iceohrnecda amilne iot ­
teirpner actiiòcf auc nhzeTi anotnmoae .g pleilroo erp oe irl oopr a­
ziieP!nu trptroco,inp òov na lgee nienpr egarllp ieso iacna.Cl isi osntoi
molctlii cnhvieoc erib rbaeprpor ecnodmceeor enr druuen cau prsai ­
coanaplriattemii occlapat a,i z icehvneot rir esbaebprecero omr ei co­
nosecarlQ.u elsitbsorri io v aolile gtect hoaeprp iat rengaeo nntor ambe
lceta eg.o rie
Neic apsietgouleeisn ptoqiru recòlh, lem iai a ovv ois,so nip or incipi
fodnamednetcllaaulp risa i coapnriaalctRiiact.oi rcarau e nrsaòo rdtia
"ergimsetdrioepc ro"e seicn otnecraeòtt ttriae vseercmslpoiiil n uli­ci
stvriQa.ut eipsetdrou meo tpirmviiop:,e rtcrhoécv hoef rolmeuz li­ao
nais trdatite taoe rt eie cpnsiiccao asnniaaodl,iip teri cas éd,a difficili
compreamn adgegrrieao,gr iq ounaensc dieo r dcaihp ip llnieec vlai rvo
della voripo a zciosenen cto,pin e;dr ocmhiépe r loep noossnto enb oa -
lO