FRIDAY EARLY AFTERNOON CASE PRESENTATION 2 (F2CP2): 3.00 PM - 4.30 PM
The Overlooked Phenomenon of "Hysterically Situated" Aggression
by Christian Eigner
A gentle man who doesn't seem to be able to hurt a fly - and yet crushed his mother's skull to a pulp;
a still almost boyish early-thirties who behaves like a model pupil, speaks correctly - but killed his girlfriend almost a decade ago with almost 20 knife wounds;
a business economist who seems downright shy, once slid through the courtroom on his knees crying and pleading after attacking an old woman, was acquitted because of it - before he then almost strangled a next victim:
All these men have something in common, namely a repression of their aggression. In fact, they would describe themselves as unaggressive and attribute their offences to a "psychotic episode" or the like; often repeating the language of their assessors and psychiatrists.
But closer analysis usually reveals massive "superego structures" or "parental modes" that have long since ceased to pronounce a sexuality taboo but do impose a ban on aggression. And to such a total extent that aggression can no longer even be felt.
With usually devastating consequences: If aggression does break out, it is - unlike in people with an impulse control disorder, who know their aggression very well and fantasize about it and thus always structure it - a "hysterical explosion" that usually leads to the destruction of the person affected.
However, it also becomes apparent that the explosion of this repressed and thus "hysterically stored" aggression requires very specific additional conditions in order to fully unfold its potential for danger. One of these conditions is massively pronounced symbiotic needs, another is a still unprocessed projective identification, i.e. a dominance of the paranoid-schizoid position. How these conditions interact with repressed aggression will be presented in the lecture, which is intended as a contribution to early detection and risk assessment of potential or already established forensic cases. For all too often, repressed aggression is misjudged or not seen.
However, it also becomes apparent that the explosion of this repressed and thus "hysterically stored" aggression requires very specific additional conditions in order to fully unfold its danger potential. One of these conditions is massively pronounced symbiotic needs (i.e. a fundamentally effective schema of "dependency"), another is a still unprocessed dominance of the "block" "schema structures", i.e. a kind of "blockade" of the mode of the "healthy adult" by schemas, which is, as it were, too weakly developed, or regularly takes a back seat in favour of various schemas (especially from the cluster "loss of autonomy").
How these conditions interact with repressed aggression and how it is necessary to consistently promote the "healthy adult" will be presented in the lecture, which is intended as a contribution to early recognition and risk assessment of potential or already established forensic cases. All too often, repressed aggression is misjudged or not seen.
About the Presenter:
©2021 International Society of Schema Therapy e.V.
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