2008
DOI: 10.1177/036215370803800209
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Dreams, Symptoms, and Fantasies: Access to the Unconscious in the Psychotherapy of Adolescents with Eating Disorders

Abstract: This article examines some of the dynamics of eating disorders in adolescence and some relevant aspects of treatment. In particular, with the aid of some clinical vignettes, the author analyzes strategies that can help patient and therapist to access the unconscious dimensions of experience, building a sense for what was originally experienced as mechanical and repetitive nonsense.

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Cited by 3 publications
(2 citation statements)
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“…Beyond specific contract goals, the therapist’s task is to create, together with the patient, an intersubjective vital space in which it may be possible to play with what is not there but potentially could be, in which to simulate what triggers the vitality and creativity of both actors even if it will not happen in reality. The therapist must play the crucial role of auxiliary dreamer , to use Cornell’s (2005) words, a guarantor of a freedom that a patient at times cannot even imagine (Terlato, 2008).…”
Section: The Limits Of Contractingmentioning
confidence: 99%
“…Beyond specific contract goals, the therapist’s task is to create, together with the patient, an intersubjective vital space in which it may be possible to play with what is not there but potentially could be, in which to simulate what triggers the vitality and creativity of both actors even if it will not happen in reality. The therapist must play the crucial role of auxiliary dreamer , to use Cornell’s (2005) words, a guarantor of a freedom that a patient at times cannot even imagine (Terlato, 2008).…”
Section: The Limits Of Contractingmentioning
confidence: 99%
“…In agreement with Gabbard (1994), I think that some fantasies are better kept unspoken because the therapist’s premature self-disclosure toward the patient, especially in the realm of eroticism and sexuality, can escape the therapist’s control and trigger games or script enactments on both sides. I think it is essential that we, as therapists, remain mentally alive in our ability to think and feel, able to accept in our mind what a patient wants to tell us as well as all the fantasies, representations, and needs that he or she cannot yet acknowledge, even to himself or herself (Cornell, 2005; Terlato, 2008).…”
Section: Clinical Vignettementioning
confidence: 99%