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(1954). Psychiatric Quarterly. XXVII, 1953: Dream Life in a Case of Hebephrenia. Ben Karpman. Pp. 262-316.. Psychoanal Q., 23:465-466.
Psychoanalytic Electronic Publishing: Psychiatric Quarterly. XXVII, 1953: Dream Life in a Case of Hebephrenia. Ben Karpman. Pp. 262-316.

(1954). Psychoanalytic Quarterly, 23:465-466

Psychiatric Quarterly. XXVII, 1953: Dream Life in a Case of Hebephrenia. Ben Karpman. Pp. 262-316.

The article consists mainly of a rather lengthy and repetitious case history in which the author, without much assistance from the patient and with rather superficial and direct interpretation of the material, supports his hypothesis that in hebephrenics certain dynamics are present. These dynamics differ substantially from those found in the usual neurotic. 1. The ego in the hebephrenic constructs a many-layered defensive system. The patient is in continuous conflict between his incestuous wishes, his polymorphous sexuality, and his guilt and anxiety. He fears his aggressive destructive impulses reflected in phallic wishfulfilling fantasies, which in turn are defenses against castrative inferiority feelings. 2. Delusions perform the same function for the hebephrenic that

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fantasies do for the neurotic. They are a defense against committing or becoming aware of socially prohibited acts—incestuous wishes, in the case of the hebephrenic. 3. Symbolization and the primary thought processes are florid and extravagant. 4. Sense of reality is substantially lost. 5. The dreams are in marked contrast to those of the average neurotic, in which the manifest content is full of inhibited impulses that offer a clue to the psychological conflicts. The conscious thoughts of the neurotic reflect the prevailing cultural pattern, whereas those of the hebephrenic are full of regressive fantasies and all manner of sexual perversions. At night, the hebephrenic dreams for the most part of normal relationships or of situations free of sexual elements. His dreams are a kind of wish fulfilment and a defense against antisocial tendencies.

The case presented illustrates this dream material and is compared with two other cases of hebephrenia previously published by the author which do not contain dream material.

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Article Citation

(1954). Psychiatric Quarterly. XXVII, 1953. Psychoanal. Q., 23:465-466

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