The case of 8 year-old Peter will be presented to illustrate how an equivalent of parental loss through disability contributed to Peter’s depression, anxiety and narcissistic defenses. Illustrations will be given to show how vulnerable to narcissistic injury Peter was and how the resulting narcissistic defenses interfered with his education.
Case material will be provided to show how Peter used the displacement of play with Lego blocks and Lego mini-figures to express how much of a bad guy he thought he was. His multiple transferences to his analyst were also expressed in the displacement of the Lego play. He thought he was the worst of bad guys. Before treatment, he seemed to be on the way to living down to that image of himself.
Through the displacement of play in intensive psychoanalytic treatment, Peter expressed wishes he could heal his father and worked through his wishes, fears and beliefs about himself to the point where his self-image shifted to one that is more reasonable. Peter was eventually able to state that he realizes he is not such a bad guy and that the whole world is not against him.
- Describe how disability in a parent can lead to the equivalent of parent loss for a child.
- Discuss the use of play as the displacement of internal self and other representations.
- Discuss how to use displacements in intensive psychoanalytic work.
Dr. Roderick Hall is a child and adolescent psychoanalyst in Coronado, California. Dr. Hall is the Chair of the Training Program in Child and Adolescent Psychoanalysis at the San Diego Psychoanalytic Center. He is a member of the American Psychoanalytic Association.
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Location: McCollum Room within Montview Blvd. Presbyterian Church
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