Resilience, Mentalization, and the Development Tutor
A Psychoanalytic and Projective Approach
Abstract
The present article first theoretically defines the term “resilience” from the clinical psychoanalytic standpoint, in view of differentiating normal development from pathological development following trauma. It then formalize two essential processes underlying resilience: mentalization and the ability to identify a developmental tutor . We studied two Romanian 12-year-old twin girls who exhibit opposing adaptations following multiple, cumulative traumas (premature birth, early severe deficiencies, parental maltreatment, parental abdication and abandonment). The study is a projective clinical study that uses a pluridimensional methodology (interviews, storytelling test, Rorschach test, and house-drawing test). The clinical data obtained clearly demonstrate the importance of two major axes in accounting for resilience or maladjustment in the face of trauma.
References
1996). La personnalité normale et pathologique [
(The normal and pathological personality ]. Paris: Dunod.2001). Délinquance, désistance et résilience à l’adolescence [
(Delinquency, desistance, and resilience in adolescence ]. In , La résilience, résister et se construire (pp. 113–116). Genève: Médecine et Hygiène.1968). Le psychopathe délinquant [
(The delinquent psychopath ]. Bruxelles: Dessart.1983). Le Rorschach en clinique adulte: Interpretation psychanalytique [
(The Rorschach in adult clinical settings: Psychoanalytic interpretation ]. Paris, France: Dunod.1996). Les facteurs de vulnérabilité et les enjeux psychodynamiques dans les réactions post traumatiques [
(Vulnerability factors and psychodynamic implications in posttraumatic reactions ]. Santé Mentale au Québec, XXI, 209–228.1999). Que deviendront nos bébés [
(What will become of our babies ]. Paris: Odile Jacob.2004). Parler d’amour au bord du gouffre [
(Talking about love on the brink of the abyss ]. Paris: Odile Jacob.2004). Gémellité, traumatismes, vulnérabilité et résilience: approche comparative [
(Twinship, trauma, vulnerability, and resilience: A comparative approach ]. Neuropsychiatrie de l’enfance et de l’Adolescence, 52, 112–121.1984). L’Image inconsciente du corps [
(The unconscious body image ]. Paris: Seuil.1982). Réflexions sur le traumatisme [
(Reflections on trauma ]. Psychanalyse, 4, 134–147. (Original work published 1934)2007). Resilience and developmental psychopathology. Child and Adolescent Psychiatric Clinics of North America, 16, 271–283.
(2005). Traiter les traumatismes psychiques [
(Treating psychic traumata ]. Paris: Dunod.2004). Guérir de son enfance [
(To heal from infancy ]. Paris: Odile Jacob.2003). La résilience chez l’enfant maltraité: “tuteur de développement” et mécanismes défensifs (approche clinique projective) [
(Resilience in the maltreated enfant: “Development tutor” and defense mechanisms (projective clinical approach) ]. Neuropsychiatrie de L’Enfance et de l’Adolescence, 51, 87–97.2004). La résilience: se (re)construire après le traumatisme [
(Resilience: Self-(re)construction after trauma ]. Paris: In Press Edition.2005). Gémellité, trouble du sommeil, vulnérabilité et résilience: approche clinique et projective [
(Twinship, sleep disorders, vulnerability, and resilience: A projective clinical approach ]. Perspectives Psychiatriques, 44, 276–291.2003). Resilience and vulnerability: Adaptation in the context of childhood adversities. Cambridge, MA: Cambridge University Press.
(2000). The construct of resilience: Implications for interventions and social policies. Development and Psychopathology, 12, 857–885.
(2000). The construct of resilience: A critical evaluation and guidelines for future work. Child Development, 71, 543–562.
(2001). La résilience, résister et se construire [
(Resilience, resistance, and self-construction ]. Genève: Médecine et Hygiène.2006). Resilience in the face of potential trauma: Clinical practices and illustrations. Journal of Clinical Psychology, 62, 971–985.
(1991). Mentalisation et psychosomatique [
(Mentalization and psychosomatics ]. Paris: Les Empêcheurs de tourner en rond.1950). Diagnostic psychological testing (Vol. 1). Chicago: The Year Book Publishers.
(1999). La pratique du Rorschach [
(Using the Rorschach ]. Paris: P. U.F.1978). Le test des contes [
(The storytelling test ]. Paris: Editions du Centre de Psychologie Appliquée.1995). Que nous disent les dessins d’enfants [
(What do children’s drawings tell us? ]. Paris: Editions du Journal des Psychologues.2001). Le dessin d’une maison [
(The house-drawing test ]. Paris: Editions et Applications Psychologiques.2006). Implications of resilience concepts for scientific understanding. Annals of the New York Academy of Sciences, 1094, 1–12.
(1954). Psychoanalytic interpretation in Rorschach testing. New-York: Grune & Stratton.
(1994). L’approche des dépressions à travers le Rorschach [
(Studying depression using the Rorschach Test ]. Paris: Editions et Applications Psychologiques.2010). Test des contes et clinique infantile [
(The storytelling test and child clinical psychology ]. Paris: Editions In Press.1990). Le cas au singulier [
(The single case ]. Nouvelle revue de Psychanalyse, 42, 285–302.