Delusional themes of penetration and loss of boundaries and their relation to early sexual trauma in psychotic disorder |
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Authors: | Miriam Chopra PhD |
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Institution: | (1) School of Social Work, Bar Ilan University, 52900 Ramat Gan, Israel |
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Abstract: | This paper explores how the psychotic experience of the penetration of destructive objects and a loss of boundaries appears
in the delusions experienced by a woman who reported early sexual trauma. Through a close analysis of these psychotic experiences,
this research seeks to illustrate how a psychotic personality organization, coupled with repeated early attacks on the integrity
and boundaries of the self, can create a pervasive sense of being relentlessly pursued and penetrated by destructive objects.
These delusions may serve multiple functions, as will be discussed. It is suggested that working through these experiences
within the therapeutic relationship involves a gradual process of separating the inner from the outer, the destructive from
the benevolent, so that a less fragmented, more integrated sense of self can emerge. |
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Keywords: | psychotic disorders sexual abuse delusions psychotherapy |
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