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Nissen, B. (2015). Breakdown and transformation – work with a severely depressed patient. Scand. Psychoanal. Rev., 38(2):123-127.

(2015). Scandinavian Psychoanalytic Review, 38(2):123-127

Breakdown and transformation – work with a severely depressed patient

Bernd Nissen

In this article, Winnicott’s concept of breakdown is discussed in relation to Freud’s ideas of “actual neurosis.” This provides the theoretical underpinning for understanding of severe depression. The case of a severely depressed woman illustrates how the deadened core of the depression is not communicable to an object. The question is raised as to how the psychic ability of perception is hindered.

[This is a summary excerpt from the full text of the journal article. The full text of the document is available to journal subscribers on the publisher's website here.]

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