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(1956). Revista De Psicoanálisis. XI, 1954: Migraine and Libidinization of Thoughts. Horacio Garcia Vega. Pp. 77-92.. Psychoanal Q., 25:131-132.
Psychoanalytic Electronic Publishing: Revista De Psicoanálisis. XI, 1954: Migraine and Libidinization of Thoughts. Horacio Garcia Vega. Pp. 77-92.

(1956). Psychoanalytic Quarterly, 25:131-132

Revista De Psicoanálisis. XI, 1954: Migraine and Libidinization of Thoughts. Horacio Garcia Vega. Pp. 77-92.

A patient's syndrome was persistent headache, lasting five days at a time, which appeared whenever he went to meetings or social gatherings or went out with friends or danced. Sometimes he vomited, at others he had diarrhea with the headache. His upbringing in childhood had been strict; he was told 'not to cry, because he was a man' and received severe religious training. He was frightened of girls, he said, and of witnessing the castration of animals. Intellectual success became a sublimated expression of his guilt-ridden instinctual Oedipal impulses. 'In his moments of intense anxiety he fantasied mutilating himself or burning his lips following the example of the saints.' He had marked libidinization of thought and hence 'suffered a neurosis of isolation'. 'The anal-sadistic

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regression functioned as a sexualization of his defenses.' His passive needs and desires filled him with great anxiety and guilt, and 'this conflict caused his migraine'. In his body image he succeeded in eliminating his genitals, saying that he could not feel them. He was 'projectively identified with women'. In his omnipotent way of thinking he had to resist these passive fantasies. He had disgusting obsessive thoughts that he might 'destroy the crucifix or put it in my ass'. By his libidinization of thoughts and sexualization of the head he gained strict control and dominated the internalized objects. When by his analysis 'his anus and its sensations were incorporated in the body image, his capacity to orient himself in the city was improved'. To the patient 'to touch the anus was charged with the same intense anxiety as if he had touched mother's genitals'. His head and thoughts during the analytic hours acted as if there were an 'anal sphincter' and a 'cerebral' one. His head symbolized his anus, and with certain interpretations 'he closed the "cerebral sphincter" as though it were the anal one'.

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Article Citation

(1956). Revista De Psicoanálisis. XI, 1954. Psychoanal. Q., 25:131-132

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