ABSTRACT
El presente trabajo realiza un desarrollo teórico del concepto de transferencias narcisistas a través del análisis de la dinámica de la pulsión de meta inhibida y de la pulsión que busca su descarga en el objeto. Muestra cómo dichas pulsiones intervienen en el balance entre libido del yo, narcisista y libido de objeto. Describe cómo éstas intervienen en la elección y relación de objeto y cómo se traducen en la relación analítica expresándose por medio de la transferencia. Partiendo de postulados freudianos, se destaca la utilidad de plantear el concepto de transferencias narcisistas como herramienta teórica y clínica, basándose en los aportes de varios autores representativos: H.Kohut, B. Grunberger, J. Bergeret y O. Kernberg. Los conceptos teóricos que se describen se ilustran con un caso clínico de una paciente adulta en análisis (AU)
This paper deals with the theoretic study of the concept of narcissistic transference through the analysis of the dynamics of the goal inhibited drive as well as through the study of the drive that looks for discharge in the object. It shows how these drives mediate in the balance between the libido of the narcissistic ego and the libido of the object. The study describes how these drives mediate in the election of the object, and in the object relationship. Also, it shows how they manifest themselves in the transference. From the Freudian postulates, it outstands the concept of narcissistic transference as a basic tool, both theoretically as well as clinically, based on the contributions of a group of representative authors: H. Kohut, B. Grunberger, J. Bergeret and O. Kernberg. The theoretical concepts described are exemplified with a clinical case of an adult patient in analysis (AU)
Subject(s)
Humans , Female , Adult , Transference, Psychology , Narcissism , Object Attachment , Freudian Theory , LibidoABSTRACT
We report a case of primary pericardial malignant mesothelioma in a 53-year old male with no asbestos previous exposure. The first clinical sign was a massive pericardial effusion causing hemodynamic disturbances. CT confirmed the initial ecochardiographic diagnosis. The patient underwent pericardiocentesis which improved his hemodynamic status as well as showed malignant cellularity in the liquid examination. Surgical treatment, including pericardiectomy and tumor resection, together with chemotherapy restored normal hemodynamics, the patient being now asymptomatic. We want to emphasize the rarity of this tumor and its insidious clinical presentation even leading to hemodynamic impairment, as well as the great value of echocardiography and CT in its diagnosis, although, in some cases, thoracotomy has been the only valid diagnostic procedure.