Premium
The Trajectory of Adaptation: A Review of Psychoanalytic Conceptualization of the Working Through and Acceptance of Disability
Author(s) -
Heled Eyal
Publication year - 2021
Publication title -
british journal of psychotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.442
H-Index - 17
eISSN - 1752-0118
pISSN - 0265-9883
DOI - 10.1111/bjp.12646
Subject(s) - conceptualization , psychology , attunement , psychoanalytic theory , phenomenology (philosophy) , adaptation (eye) , psychotherapist , cognitive psychology , epistemology , medicine , alternative medicine , pathology , artificial intelligence , neuroscience , computer science , philosophy
Disability is a long‐term physically or mentally, limiting condition that significantly impacts various life domains. It is associated with a trajectory of emotional adaptation that encompasses diverse internal and external processes. Though rare, psychoanalytic views on adaptation to and acceptance of disability have been proposed, with potential value for rehabilitation. Freud's relatively brief contributions to this field inspired later theorists to elaborate on his concepts and adjust them to address the phenomenology of disability. The majority of these theorists focused on ego and self formulations, while taking external reality into account. Psychopathology in disability was also addressed, as well as acceptance as a primary goal of adaptation. Authors have emphasized the uncertainty of acceptance, highlighting the importance of attunement to individual patient needs and suggesting that psychoanalytic formulation can help psychotherapists to better understand and treat individuals with disability. The meanings and implications of the various conceptualizations are integrated and illustrated through a case example.