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Autistic Phenomena and Unrepresented States - Explorations in the Emergence of Self (Paperback)
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Autistic Phenomena and Unrepresented States - Explorations in the Emergence of Self (Paperback)
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With contributions from Anne Alvarez, Joshua Durban, Jeffrey L.
Eaton, Bernard Golse, Didier Houzel, Howard B. Levine, Suzanne
Maiello, Sylvain Missonnier, Bernd Nissen, Marganit Ofer, and Jani
Santamaria. The capacity to create psychic representations is now
understood to be a developmental achievement. Without it, meaning
cannot be ascertained and this can lead to "psychic voids" and
"unrepresented states", which can contribute to the development of
autism and autistic spectrum disorders (ASD). Unrepresented states
are also implicated and encountered in other, non-autistic,
non-neurotic conditions, such as psychosomatic disorders,
addictions, perversions, and primitive character disorders. The
affects that unrepresented states produce or are associated with
are often those of terror, emptiness, annihilation and despair. The
organisation of the psyche consists of psychotic - i.e.
unstructured - as well as neurotic parts of the mind; unintegrated
as well as integrated areas; and unrepresented areas with little
meaning as well as represented states consisting of specific ideas
imbued with affect. Given this organisation, we should expect to
find both an unstructured and a dynamic unconscious in all
patients. This implies that, to some degree, unrepresented and
unintegrated states are universal and will exist and be encountered
in all of us. Consequently, the opportunities and challenges
presented by the understanding and treatment of autism and ASD,
where the unrepresented and its consequences (e.g. defensive
organisations employed to protect against annihilation anxiety and
catastrophic dread) can be encountered may offer us metaphors and
clues relevant to aspects of the treatment of all patients, no
matter what their dominant diagnoses may be. Packed with theory and
helpful case studies, this carefully edited collection from an
international array of experts in the field is essential reading
for all practising clinicians.
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