Role of imaginary companion in promoting the psychotherapeutic process.
An imaginary companion (IC) has been considered to be a transitory phenomenon sometimes seen in the normal developmental process of children. In recent years, however, it has been observed that ICs are related to various disorders, and their clinical significance is again attracting notice. Although an IC may in certain ways aggravate the patient's symptoms and regression, an IC may also serve to advance the therapy, for example by indicating the location of the patient's troubles, or acting as an intermediary between the therapist and patient. In cases of dissociative (conversion) disorders, it is generally difficult for patients to verbalize their troubles, but the present patients gained insight into themselves by closely examining their ICs. Imaginary companions are not simply entities incidental to the disorder, and by incorporating them into the therapeutic strategy as a presence supporting the patient's growth, it is possible that the psychotherapy may proceed more smoothly.
Sawa
Takako
T
Department of Psychopathology and Psychotherapy, Postgraduate School of Medicine, Research Center of Health, Physical Fitness and Sports, Nagoya University, Nagoya, Aichi, Japan. stakako@med.nagoya-u.ac.jp
Oae
Hiroyuki
H
Abiru
Takeshi
T
Ogawa
Toyoaki
T
Takahashi
Toshihiko
T
D000293:Adolescent; D000328:Adult; D001364:Awareness; D003291:Conversion Disorder / Q000523:psychology / Q000628:therapy*; D004213:Dissociative Disorders / Q000523:psychology / Q000628:therapy*; D005201:Fantasy; D005260:Female; D006801:Humans; D007092:Imagination; D008297:Male; D009769:Object Attachment; D010817:Physician-Patient Relations; D011613:Psychotherapy / Q000379:methods*