Prepuberal obesity (the adiposogenital syndrome): a transitional object pathology.
The adiposogenital syndrome develops during the puberal period starting from a particular family constellation, that is described. The origins of the pathological alteration are found at the first object relationships, where feeding is felt as self-feeding. Food normally plays the role of transitional object in child. In these cases, this role fails and ends by helping separation denial. Fat is laid on the intermediate space as a fetish object, a witness of the omnipotent fantasy of antistic feeding. The child develops a great ability to maintain this balance, making eating a highly pleasant activity. Difficulties encountered during treatment are commented.
Losso
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Argentine Psychoanalytic Association, Buenos Aires, Argentina.
D000273:Adipose Tissue / Q000502:physiology; D000293:Adolescent; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D005835:Genitalia / Q000033:anatomy & histology*; D006801:Humans; D008297:Male; D009765:Obesity / Q000175:diagnosis / Q000523:psychology*; D009769:Object Attachment; D011627:Puberty / Q000523:psychology*; D013577:Syndrome