Sewing New Paths in Psychoanalytic Therapy

This paper presents a psychoanalytic reflection regarding one's identity (selfhood) based on the case of a young woman in a situation of social vulnerability. We aim to highlight the relevance of Freud's and Ferenczi's theories in understanding the dynamics of narcissism and object relations in clinical psychoanalysis, offering a solid basis for investigating selfhood. The analysis of the clinical case raised fundamental questions about psychic development and the importance of early object relations. First, we explored the concept of narcissism and the parental figures' role in the constitution of the infant psyche. We reiterate that narcissistic problems arise when the parental libidinal investment is not sufficient, affecting the subject's ability to differentiate between the self and the other. Our reflection on selfhood, drawn from the clinical vignette, was mainly based on texts by Freud and Ferenczi to show how parents' lack of affection and care can cause lasting dysfunctions in subjective functioning. An "unwelcome child" can internalize feelings of undesirability and inadequacy, resulting in low self-esteem and exacerbated self-criticism throughout life. These factors profoundly impact the construction of subjectivity and have repercussions on relationships throughout life, including the analytical relationship. We acknowledge the significance of external validation in constructing the self and the indispensable role of a compassionate and authentic approach in engaging with the patient. It fosters the strengthening of the bond and the development of trust in oneself and the therapeutic process by acknowledging the validity of the patient's emotions and perceptions.