Extract
[...] There is a 'vague feeling of guilt' on the part of the subject with regard to his brother and his death, but he does not want to talk about their relationship, so we do not know what his relationship was like with this brother." In terms of other important elements to note, the subject was ill very young and was thus overprotected by his parents, particularly his mother, with 'conflictual adjustment', which may have caused the subject to desire to avoid all conflict in his adult life, explaining his desire to avoid conflict with his fiancée, as well as his desire to avoid adult life and its responsibilities, potential sources of conflict. Thus, when he mentions his illness and his clinical intervention, he speaks of it without feelings, detached, as if it were not his body he was talking about. This can be seen as a form of regressive psychic organization, with avoidance of all conflictual situations, an adult who wants to live like a child, flee and avoid all responsibilities and conflicts. Relations with others are experienced as potential sources of conflict, which is why he lives very isolated. [...]
[...] Conclusion The subject studied seems to be endowed with a regressive psychological organization. Having been ill very young, he was overprotected by his parents with 'conflictual arrangement', which puts him in a position in which he refuses to face any form of conflict and, by doing so, relationships with others, potential sources of conflict. Thus, with his fiancée, he wants to avoid at all costs any form of conflict, with sexual intercourse as a potential trigger of conflict, which causes disturbances in his sexuality. [...]
[...] However, his 'apathetic' and 'soft' behavior and his difficulties in assuming a 'normal' adult life may be the signs of a form of depression and internal suffering. Thirdly, the sexual disorders, already mentioned in the 'ambivalence' pole. Thus, although these elements cannot, on their own, explain the somatization of the RCH, they seem to recur regularly in research on the subject. Moreover, in our case, the subject lost his brother, 'died in his place' since he replaced him during a diving session. [...]
[...] The narcissistic structure as a psychological organization is therefore quite natural. It is when this latter has suffered from deficiencies, often at the time of early childhood, that it can generate problematic behaviors in adulthood. In the case of the subject, his narcissistic organization seems to have suffered from the overprotection of his parents when he fell ill as a child, which led to a desire to avoid all conflicts and live in a conflict-free world, a world that he invents. [...]
[...] Case Study: RCH I. RCH: Psychological Factors According to Alain Fine, psychoanalyst and president of the Paris Psychoanalytic Society (2003), ulcerative colitis (or RCH) can quite fit into the framework of so-called psychosomatic diseases, since many studies demonstrate that the psychological structure of the subject can create a fertile ground for the appearance of this disease and favor somatization. Thus, researchers have tried to group common personality traits among RCH patients, and it seems that several elements recur quite often among them: - Ambivalence - Aggressivity, visible or repressed - Depression and/or regression - Sexual disorders not attributable to the physical consequences of the disease In our case, we can already attest the presence of at least three of these factors. [...]
