Del narcisismo a la depresión a través de la agresión. Ilustraciones clínicas para el desarrollo de un modelo transformacional de un subtipo de depresión
- Hugo Bleichmar 1
- Javier Ramos 1
- Ángeles Castro 1
- Jesús Fernández Rozas 1
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1
Hospital Universitario 12 de Octubre
info
ISSN: 1699-4825
Año de publicación: 2020
Número: 64
Tipo: Artículo
Otras publicaciones en: Aperturas psicoanalíticas: Revista de psicoanálisis
Resumen
This paper presents a possible pathway, including the pathway’s interim steps, through which a narcissistic disorder –grandiose or vulnerableand aggression can contribute to produce, as an end result, a depressive disorder. An attempt is made to understand how and why each step in the pathway leads to each subsequent step. This step-wise approach, which we are calling the transformational model, will be illustrated through several clinical cases derived from a time-limited group psychotherapy. The benefits of a transformational model for understanding depression in individuals with narcissistic pathology is that such an approach could prove useful in designing more effective therapeutic interventions that are individually-tailored to target each of the specific steps in the pathway. We suggest that a transformational model, applied here towards depression, similarly could be applied to improve the understanding and treatment of other psychopathological disorders