Wetenschappelijk tijdschrift voor psychiaters, artsen in opleiding tot psychiater en andere geïnteresseerden
  • EN
  • NL
Tijdschrift voor Psychiatrie
  • Tijdschrift
  • Terug naar hoofdmenu
    New articles Current issue Previous issues Special issues Book reviews
    Auteursrichtlijnen Over het tijdschrift Redactie Abonnementen Colofon Adverteren
    Current issue
    Nummer 5 / 2025 Jaargang 67
    Tijdschrift voor Psychiatrie
    5 / 2025

    Current issue
  • Accreditatie
  • Meetinstrumenten
  • Vacatures
Edit
  • EN
  • NL
  1. Home
  2. Artikelen
  3. Gezinstherapie, vanuit psychoanalytisch ge...
Short report

Gezinstherapie, vanuit psychoanalytisch gezichtspunt

J.H. Blankstein
Psychoanalytic theory strongly emphasizes the intrapsychic dynamics in its conceptualizations about personality development and its disturbances. It tends to neglect the formative impact of social phenomena and interpersonal relation ships. The clinical experiences of psychoanalytically oriented family therapists gave rise to new insights and concepts concerning the profound influence of family relations on the development and behavior of the individual. The individual is seen primarily as a part of a larger system: the family. Psychological boundaries between family members are rarely complete. In the development of a child there tends to be a gradual delineation of the self from an undifferentiated ego-mass. A lot of families are characterized by a distinct measure of egofusion between the members, partly caused by cultural factors, partly caused by pathogenie factors among which eparation anxiety plays an important part. In that case the dialectical process between ego and alter is impeded, ego-boundaries are only vaguely delineated, there is a state of merger and the family members are vitally tied to each other while they behave as if the other is a part of oneself, loved or hated. There is no confirmation of the other as a separate personality, but he is used in a certain fixated role dependent upon the homeostatic needs of the family and of the individual members. Of ten children are parentified, that is to say they are used as substitute parents of their own parents because of their unsolved dependency needs or other conflict-loaded needs. The psychopathological symptomatology of children and adults can of ten be understood as a compromise between tendencies to individuate and the urge, partly internalized, partly maintained by the ungoing communication in the family, to fullfil certain roles in regard to other family members. Sometimes the deviant behavior of a child is a kind of vicarious functioning for one or both parents, who can stabilize themselves by externalizing their problems. An important vehiculum by which family members succeed in fixating one another in certain roles is by ways of labelling the other. h is of great importance to estimate the commitment of a patient to a certain way of behavior in regard to the family climate he lives in. Often this is a powerfull motivation to maintain the disturbed behavior. Psychoanalytic treatment of individuals sometimes has to be done by influencing family relations. In all cases the family constellation has to be taken into account.
Download PDF
Twitter Facebook LinkedIn Mail WhatsApp
Published by the Stichting Tijdschrift voor Psychiatrie on behalf of the Nederlandse Vereniging voor Psychiatrie and the Vlaamse Vereniging voor Psychiatrie.

Over TvP

Over het tijdschrift Redactie Auteursrichtlijnen Colofon
Abonnementen Abonnee worden Adverteren

Contact

Redactiebureau Tijdschrift voor Psychiatrie
drs. S.L. (Lianne) van der Meer
Telefoon: 030 899 00 80
info@tijdschriftvoorpsychiatrie.nl

Copyright

Redactie en uitgever zijn niet aansprakelijk voor de inhoud van de onder auteursnaam opgenomen artikelen of van de advertenties. Niets uit dit tijdschrift mag openbaar worden gemaakt door middel van druk, microfilm of op welke wijze ook, zonder schriftelijke toestemming van de redactie.

© copyright 2025 Tijdschrift voor Psychiatrie