¿Cómo llenar un continente no diferenciado con un determinado contenido? Abordaje psicodinámico de un síntoma alimentario

The aim of this study was to establish that the lack of distinction between inside and outside of the patient presented was one of the nuclear factors in Rosa's eating symptom. For this purpose we present the clinical materials issued from the psychotherapeutic process carried on with Rosa during 10 years —one of the two components of the bifocal therapy— emphasizing the transference-countertransference relation. The comprehension achieved from clinical materials is enriched by means of discussing approaches of several authors on relevant concepts. Results showed that what had failed during Rosa's early development was built-rebuilt throughout therapy. She worked on building a bodily and mental image, enriched her self and her relationships with others. This clinical experience is an invitation to think about the great variety of expressions —sometimes by means of the body and sometimes of the psyche— of early failures and also, that treatments must include various aspects, with bifocal therapy being an option.