title: [The diagnostic and healing difficulty at "patient" with Klinefelter's syndrome, the disorders of the personality of the type borderline, the eating disorders and mixed dependence from the drugs].
abstract: It was described the case of 25-years-old person's dependent from medicines (reassuring, sleeping and analgesic)and alcohol from coexisting rare disorders happened in the detox squad. Establish that person, during the treatment metrical he is the man and possesses the characteristic genotype for the Klinefelter's syndrome, the features of the personality of type borderline and the eating disorders (bulimic side of annorexia). Her autobiography, psychical state (she underlined that he felt the woman despite the sex mentally by the whole time of the stay) her behavior are the interesting therapeutics problems. In the article was introduced the test explanation of mechanisms her psychical functioning, and the difficulty which appeared in the process of diagnosis and psychotherapy. The Klinefelter's syndrome was differentiated with transsexualism seldom in the aim of the more exact understanding of above mentioned difficulties. Medical and psychoterapeutic strategies were proposed for that person.
authors.affiliation: Szpital im. Babińskiego w Lodzi SP ZOZ, Oddział Detoksykacyjny od Narkotyków i Innych Srodków Psychoaktywnych. ifka77@wp.pl
authors.forename: Iwona
authors.initials: I
authors.lastname: Mikołajczyk
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Wawrzyniak
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007713:Klinefelter Syndrome / Q000175:diagnosis* / Q000628:therapy*; D011613:Psychotherapy; D014189:Transsexualism / Q000175:diagnosis