Early vulnerability in the development of the sense of maleness: Castration depression in the phallic-narcissistic phase. 2004

Silvia M Bell
Child and Adolescent Psychoanalysis, Baltimore-Washington Institute for Psychoanalysis, USA.

This paper considers Brenner's (1975, 1979, 1982) modification of Freud's theory that anxiety is the only signal affect. Brenner introduced the notion that castration depressive affect also can trigger psychic conflict, defense, and symptom formation. Clinical material from the first year of treatment of a three-year-old boy who suffered a regression in daytime bladder control is presented. The focus is threefold: First, to show that the often cited but poorly studied symptom of regression in bladder control may be an indicator of the child 's struggle with the three calamities of childhood (object loss, loss of love, and castration); second, to present data that support the importance in early symptom formation of both anxiety and depressive affect tied to the ideation of castration as well as of object loss; third, to suggest that vulnerability to castration depression is a concept more pertinent to the stage presently labeled the phallic-narcissistic phase, rather than to the oedipal phase of development. The discussion addresses the importance of castration depressive affect as a concept in guiding therapeutic intervention. Vulnerability to castration depressive affect is postulated to be more prominent in the phallic-narcissistic phase because phallic self representation is not yet consolidated.

UI MeSH Term Description Entries
D008297 Male Males
D009289 Narcissism A psychoanalytic term meaning self-love. Narcissisms
D011575 Psychoanalytic Therapy A form of psychiatric treatment, based on Freudian principles, which seeks to eliminate or diminish the undesirable effects of unconscious conflicts by making the patient aware of their existence, origin, and inappropriate expression in current emotions and behavior. Balint Psychoanalytic Therapy,Psychoanalytic Therapy, Balint,Psychoanalytical Therapy,Therapy, Balint Psychoanalytic,Therapy, Psychoanalytic,Psychoanalytic Therapies,Psychoanalytical Therapies,Therapies, Psychoanalytic,Therapies, Psychoanalytical,Therapy, Psychoanalytical
D011606 Psychosexual Development The stages of development of the psychological aspects of sexuality from birth to adulthood; i.e., oral, anal, genital, and latent periods. Anal Stage,Phallic Stage,Anal Stages,Development, Psychosexual,Developments, Psychosexual,Phallic Stages,Psychosexual Developments,Stage, Anal,Stage, Phallic,Stages, Anal,Stages, Phallic
D012043 Regression, Psychology A return to earlier, especially to infantile, patterns of thought or behavior, or stage of functioning, e.g., feelings of helplessness and dependency in a patient with a serious physical illness. (From APA, Thesaurus of Psychological Index Terms, 1994). Psychological Regression,Regression (Psychology),Psychology Regression
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003220 Conflict, Psychological The internal individual struggle resulting from incompatible or opposing needs, drives, or external and internal demands. In group interactions, competitive or opposing action of incompatibles: antagonistic state or action (as of divergent ideas, interests, or persons). (from Merriam-Webster's Collegiate Dictionary, 10th ed) Conflict, Psychology,Psychological Conflict,Psychological Conflicts
D003863 Depression Depressive states usually of moderate intensity in contrast with MAJOR DEPRESSIVE DISORDER present in neurotic and psychotic disorders. Depressive Symptoms,Emotional Depression,Depression, Emotional,Depressive Symptom,Symptom, Depressive
D005783 Gender Identity A person's concept of self as being male and masculine or female and feminine, or ambivalent, based in part on physical characteristics, parental responses, and psychological and social pressures. It is the internal experience of gender role. Gender,Gender Identities,Identity, Gender
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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