Del narcisismo a la depresión a través de la agresión. Ilustraciones clínicas para el desarrollo de un modelo transformacional de un subtipo de depresión

1. Hugo Bleichmar ¹
2. Javier Ramos ¹
3. Ángeles Castro ¹
4. Jesús Fernández Rozas ¹

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Outras publicacións en: Aperturas psicoanalíticas: Revista de psicoanálisis

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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

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