By Inge Wise
An summary of labor with youth, overlaying a large spectrum of matters, together with operating with violent, depressed and suicidal kids, and people being affected by addictions.
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Extra info for Adolescence
I will confine myself to trying to understand the psychodynamic factors involved in these actions as well as the difficulties that arise in the treatment of these young people. In no sense am I denying the importance of other factors such as early trauma, social causes, parental disturbances and sexual abuse. I will next describe a clinical example which may help to understand some aspects of attempted suicide in adolescence. Clinical case: Sally A 15year-old girl whom I shall call Sally was referred by her school to our Walk-In Centre.
These loved ones are on the one hand an inner possession, components of our own ego; but on the other hand they are partly strangers, even enemies . To sum up: our unconscious is just as inaccessible to the idea of our own death, just as murderously inclined towards strangers, just as divided (that is ambivalent) towards those we love .. "To be dead" has a specific meaning for each adolescent who attempts suicide, based not only on their conscious reasons for why they wanted to be dead but also mainly on the unconscious phantasies that underlay their thinking and actions.
This was the case for a 17-year-old girl, M, whose mother had died when she was 11. M kept a very idealized image of her mother, whilst feeling abandoned at a time when she felt she most needed her. She could not establish a good relation with either her father or stepmother and felt she could not allow hemlf to have friends, to enjoy being alive. She became very depressed and suicidal after puberty. M could not understand this as there were no "real" reasons why she should feel so guilty when her mother's death had not been caused by her actions.
Adolescence by Inge Wise