[A case of autoerotic fetishism: psychodynamic evaluation (author's transl)].
This paper presents a psychodynamic evaluation of a case of fetishism, whose main features are the homosexual or autoerotic choice of the fetish (hair), social and occupational maladjustment and occurrence of epysodes of psychotic depression. After a survey of the literature, with particular emphasis on psychoanalitic and psychodynamic approach, the authors discuss the diagnostic problems presented by this case and decide for a diagnosis works as a largely unsuccessful attempt to escape psychotic regression. In contrast with the situation which prevails in most cases of fetishism, there is no satisfactory adjustment to social and occupational life; the mecanism of ego-splitting is found to be impaired. The authors stress the importance of Kohut's recent contributions to the study of the early phases of narcissism for a better understanding of the differential diagnosis between psychosis, character disorders and perversions, Kohut's narcissistic personality disorders and "borderline syndrome".
D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D004532:Ego; D005329:Fetishism, Psychiatric / Q000175:diagnosis* / Q000188:drug therapy; D006197:Hair; D006801:Humans; D008297:Male; D010262:Paraphilic Disorders / Q000175:diagnosis*; D011573:Psychoanalytic Interpretation
D000928:Antidepressive Agents
Valutazione psicodinamica di un caso di feticismo autoerotico