An Accumulation of Negative Life Events and the Construction of Alexithymia: A Longitudinal and Clinical Approach

We began the study with a theoretical comparison of the concepts of alexithymia and operative thought in terms of etiology as well as with a specific approach to comparing the concepts using the Rorschach Inkblot Method (Rorschach, 1921 Rorschach, H. 1921. Psychodiagnostic, Paris, , France: Presses Universitaires de France. [Google Scholar]) with both Exner's (1986) Comprehensive System and the Parisian School (Chabert, 1983 Chabert, C. 1983. Le Rorschach en clinique adulte: Interprétation psychanalytique [The Rorschach in adult clinical settings: Psychoanalytic interpretation], Paris, , France: Dunod. [Google Scholar], 1987 Chabert, C. 1987. La Psychopathologie à travers le Rorschach [Psychopathology throughout the Rorschach], Paris, , France: Dunod. [Google Scholar]; Rausch de Traubenburg, 2000) methods of coding and interpretation. We then present a longitudinal clinical study of a woman suffering perinatal depression starting at 8 months gestation until 34 months postpartum. The case shows how an accumulation of stressful and traumatic life events in the early perinatal period generates a reactive, structured alexithymia. This psychic process transforms an initial acceptance of therapy into a refusal to engage in a therapeutic alliance along with persistent depressive symptoms, impaired quality of life, and maladaptive coping strategies.