TITLE:
Should We Treat? A Reflection on the Limits of Psychotherapy
AUTHORS:
Giuliana Galli Carminati, Federico Carminati
KEYWORDS:
Autistic Spectrum Disorder (ASD), Asperger’s Syndrome, Freud, Lacan, Jung, Psychoanalysis, Archetypes
JOURNAL NAME:
Psychology,
Vol.15 No.3,
March
18,
2024
ABSTRACT:
Background: We discuss our clinical practice in reference to philosophy and the
historical background of major figures of psychoanalysis and mythology. We focus our reflection on the complex treatment
of individuals with Asperger’s syndrome. The inherent challenges posed
by their condition significantly impact their
quality of life and interpersonal relationships. Purpose: This
paper develops the possibilities and constraints of psychotherapeutic
interventions for individuals with Asperger’s syndrome. We critically examine
the nuanced concept of “normality” and explore the practical and ethical
dimensions of directing therapeutic efforts toward the “normalization” of these
patients. Methods: Our exploration begins by scrutinizing the healer
concept within both somatic and psychological realms. Subsequently, we present
observations on significant figures in
psychoanalysis, namely Freud, Jung, and Lacan. Two clinical cases are then detailed to exemplify our
perspectives. Results: The
illustrated clinical cases underscore that attempts to “heal” individuals
with Asperger’s syndrome may prove ineffective or, in certain instances, even
iatrogenic. Guiding these individuals on the path to “normality” might elevate stress levels and, paradoxically, diminish
their overall quality of life. This
can result in a profound and distressing regression. Conclusions: Our experience informs us that these patients cannot be “healed” in the
conventional sense of normalized. Therapists must moderate their expectations,
embracing and assisting in accepting the diversity inherent in these
individuals. Our role is to support them in
navigating the intricate compromises necessary to alleviate stress and
enhance their overall quality of life.