Adaptation of Family to Child

School-­‐age	  children	  with	  Cystic	  Fibrosis	  (CF)	  possess	  valuable	  knowledge	  about themselves.	  They	  have	  experience	  and	  ability	  to	  offer	  insight	  about	  living	  with	  CF.	  Previous studies,	  exploring	  the	  perceptions	  of	  CF	  children,	  give	  little	  attention	  to	  eliciting	  and listening	  to	  their	  voices.	  Also,	  traditional	  data	  collection	  methods	  limit	  children	  from participating	  in	  research.	  The	  purpose	  of	  this	  study	  was	  to	  explore	  and	  describe	  how school-­‐age	  children	  with	  CF	  see	  themselves	  in	  the	  world	  they	  live. The	  study	  utilized	  qualitative	  description	  methodology.	  Symbolic	  Interactionism served	  as	  the	  researcher’s	  philosophical	  lens.	  It	  is	  a	  perspective	  that	  seeks	  to	  understand the	  social	  world	  of	  others,	  as	  they	  perceive	  it.	  Photo	  elicitation	  was	  used	  as	  the	  primary data	  collection	  method.	  Each	  participant	  was	  asked	  to	  take	  photographs	  about	  “What	  it	  is like	  to	  be	  you”.	  Photographs	  were	  then	  used	  to	  stimulate	  and	  guide	  an	  audio-­‐recorded interview	  and	  make	  a	  photo	  book	  for	  the	  child	  to	  keep.	  Data	  were	  analyzed	  using	  Boyatzis method	  of	  inductive	  thematic	  content	  analysis.	  Sixteen	  children	  with	  CF	  between	  the	  ages of	  8	  to	  11	  were	  purposively	  recruited	  from	  the	  Southeastern	  United	  States.	  Data	  saturation was	  achieved	  after	  13	  interviews.	  Rigor	  was	  maintained	  by	  a	  variety	  of	  ways	  including bracketing,	  peer	  evaluation,	  and	  member	  checking. Five	  themes	  emerged	  from	  the	  data	  Me	  Being	  Me,	  My	  Medicine	  and	  Treatments,	  My Family,	  My	  Friends	  and	  Other	  Key	  Relationships,	  and	  My	  World.	  Findings	  revealed	  that	  life does	  not	  revolve	  around	  CF,	  but	  instead	  centers	  on	  “me	  being	  me”	  and	  living	  a	  normal	  life. Additionally,	  photo	  elicitation	  empowered	  participants	  to	  be	  authors	  of	  their	  own	  stories, and	  promoted	  communication	  between	  them	  and	  the	  researcher.

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“This is me. I like who I am”: A Qualitative Descriptive Study Using Photo Elicitation to Examine the World of the School-­Age Child With Cystic Fibrosis

Starting from the concept of confusion of tongues between passion and tenderness, the authors illustrate two clinical situations of traumatized children and adults and try to show how these kinds of patient are not able to give voice to and symbolically represent their archaic anxieties connected with their having been Ferenczian “unwelcome children.” Therefore, in the therapeutic situation, they often make use of the language of “passion” and sexualization in order to communicate to the analyst their early broken intimacy and their traumatized “tenderness,” related to a lack of parental libidinal involvement and of maternal permeability to their raw emotions, which gave rise to their “passion of death.” Sketching out two clinical cases (an adolescent and an adult), the authors describe how, in their opinion, this confusion of tongues may be the only way for some patients to represent and share the traumatic events of their past, while at the same time it may become a deep-rooted, strong, rigid, a...

Confusion of tongues: A defense mechanism and a complex communication of unwelcome children with an early broken intimacy

The infant observation presented in this paper was conducted weekly for two years. Through an extensive use of clinical vignettes and personal and theoretical considerations, this article aims to highlight that both harmonies and pauses, as well as interruptions and dissonances, can be present in early interactive exchanges, forming the fabric of a relational piece of music that is not always as harmonious as might be desirable. The role of the father in moderating problematic interactions between the mother and her child is also examined.

Musical rhythms in an infant observation: Harmonies, pauses, dissonances, and interruptions

This paper gives special emphasis to the widening and modification of the sense of existence in relation to the unconscious processes of identification. In our ‘post‐modern’ society there are some parents who, while taking care of their children, use subtle projective identification against them, so as to produce in them a sort of pathological introjective identification, which denies their Self. Ferenczi's thought, which deals with the sense of ‘not‐existing’ in some children, helps us to go into depth in understanding their difficulties and pathologies.

Marco Macciò

Papers

The child's sense of existence and the fatal attraction of identification