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Chronic Illness and Disability in Psychoanalysis: A Theoretical Review of Structural Characteristics

Journal

PSYCHOANALYTIC PSYCHOLOGY
Volume 39, Issue 2, Pages 135-144

Publisher

EDUCATIONAL PUBLISHING FOUNDATION-AMERICAN PSYCHOLOGICAL ASSOC
DOI: 10.1037/pap0000326

Keywords

chronic illness and disability; rehabilitation psychology; psychoanalysis; acquired disability; congenital disability

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This article reviews the psychoanalytic literature on chronic illness and disability (CID), focusing on its mental features and implications. It highlights the impact of psychological characteristics on ego strength and well-being of affected individuals, and suggests that psychoanalytic conceptions can benefit CID rehabilitation.
Chronic illness and disability (CID) is a broad term associated with a wide range of factors, some of them emotional. Various approaches have addressed the mental reality associated with congenital and acquired disabilities, including the psychoanalytic view. The current article aimed to review the psychoanalytic literature on CID, focusing specifically on its mental features and their implications. Although few authors since Freud have addressed the psychic structure and organization of individuals with CID, there seems to be a consensus regarding shared underlying psychological characteristics with a considerable impact on ego strength and the self. These are accompanied by negative feelings that are often strong and enduring, though not always predictable because of the many factors on which they depend. Review of the relevant literature suggests that psychoanalytic conceptions can benefit CID rehabilitation, potentially providing clinicians with knowledge and tools to improve the well-being of affected persons.

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