In this book the author examines the series of connections that
give rise to the intimate relationship between environment and
individual in the construction of emotional suffering, emphasising
both the undisputed pathogenic action of environmental stimuli and
the active participation of whoever is obliged to suffer the
negative situation. The author shows that the way in which one
tries to escape suffering is what often seriously jeopardises
growth. Working with Difficult Patients points out the intrinsic
link between some forms of mental suffering and the distorted
responses that the patient has received from his or her original
environment. For this reason the author explores the concept of the
emotional trauma in particular, since this trauma, which occurs in
the primary relationship, often impels the child into relational
withdrawal and towards constructing pathological structures that
will accompany him or her for the rest of their life. The chapters
are ordered according to a scale of increasing treatment
difficulty, which is proportional to the potential pathogenicity of
the underlying psychopathological structure.
General
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