Psychological Dynamics Underlying Relapse (A Case Study)

Document Type : Academic research papers

Authors

1 Department of Psychology, Faculty of Women for Arts, Science & Education, Ain-Shams University, Cairo, Egypt

2 Department of Psychology / Girls' College of Arts, Sciences and Education / Ain Shams University / Cairo

3 Lecturer of Psychology – Faculty of Women for Arts, Science and Education - Ain Shams University, Egypt

Abstract

The research aimed to reveal the most important underlying psychological dynamics and motives that caused the relapse of one of the cases and the return to drug-use again. The case was a relapsed university patient who was reluctant to receive treatment, aged 30 years. Clinical interview, Sacks Sentence Completion Test (SSCT) and Thematic Apperception Test (TAT) for Adult were used. The research reached several results, including: The patient suffers from severe depression manifested in a constant feeling of family and social frustration; suffering also from feelings of helplessness, despair, abandonment, not obtaining reassurance and love from parents, especially, the mother. This led to a wounded narcissism accompanied by psychopathic tendencies and Oedipus complex anxiety. The case's return to drug-use is due to father rejection, inability to adapt to reality, sense of psychological alienation, the need for security, unconditional love and acceptance, the need for self-esteem and independence, dominance of the harsh superego resulting from incestuous sexual fantasies towards mother and sister.

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