Skip to main content
Log in

Sexual acting out as an abortive mourning process in female adolescent inpatients

  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

The development of psychologically healthy means for coping with sexuality is particularly difficult for disturbed adolescents who need residential treatment. One of the clearly definable psychodynamic constellations that underlie sexual acting-out—an abortive mourning process in response to separations or losses suffered by female adolescent inpatients—is discussed. John Bowlby's theory of the mourning process is emphasized in understanding the immediate reaction to loss.

Case material is presented in support of the hypothesis that with some disturbed female adolescents, heterosexual acting-out wards off a regressive wish, kindled by object loss, to reunite symbiotically with the preoedipal mother. Suggestions are given for milieu management and psychotherapy in such cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. McNeil, E. B., and Morse, W. C.: The institutional management of sex in emotionally disturbed children, Am. J. Orthopsychiat., 34: 115–124, 1964.

    Google Scholar 

  2. Levy, E. Z.: On the residential treatment of adolescent girls. Seminars on Psychiatry, 1: 3–14, 1969.

    Google Scholar 

  3. Miller, D. H.: The Age Between. Cornmarket Hutchinson. London, 1969.

    Google Scholar 

  4. Krohn, A., Miller, D. H., and Looney, J.: Flight from autonomy—problems of social change in an adolescent in-patient setting. Psychiatry, 1974 (In press).

  5. Easson, W. M.: Adolescent inpatients in love. Arch. Gen. Psychiat., 16: 758–763, 1967.

    Google Scholar 

  6. Papanek, E.: Management of the acting-out adolescent. Am. J. Psychother., 18: 418–434, 1964.

    Google Scholar 

  7. Levy, E. Z.: Notes and comments on the sexual behavior of hospitalized adolescents. Presented to the Fortieth Annual Meeting of the National Association of Private Psychiatric Hospitals, January 1973.

  8. Blos, P.: The second individuation process of adolescence. Psychoanal. St. Child., 22: 162–186, 1967.

    Google Scholar 

  9. Masterson, J. F.: Treatment of the Borderline Adolescent: A Developmental Approach, Wiley. New York. 1972.

    Google Scholar 

  10. Freud, S.: (1917): Mourning and melancholia. Collected Papers, vol. 4. Institute of Psychoanalysis and Hogarth Press. London. 1956.

    Google Scholar 

  11. Fleming, J., and Altschul, S.: Activation of mourning and growth by psychoanalysis. Int. J. Psycho-anal., 44: 419–431, 1963.

    Google Scholar 

  12. Pollock, G. H.: Mourning and adaptation. Int. J. Psycho-anal., 42: 341–361, 1961.

    Google Scholar 

  13. Bowlby, J.: Processes of mourning. Int. J. Psycho-anal., 42: 317–340, 1961.

    Google Scholar 

  14. Shoor, M., and Speed, M. D.: Delinquency as a manifestation of the mourning process.Psychiat. Quart., 37: 540–558, 1968.

    Google Scholar 

  15. Blos, P.: Character formation in adolescence. Psychoanal. St. Child, 23: 245–263, 1968.

    Google Scholar 

  16. Sugar, M.: Normal adolescent mourning. Am. J. Psychother., 22: 258–269, 1968.

    Google Scholar 

  17. Bowlby, J.: Pathological mourning and childhood mourning. J. Am. Psychoanal. Assn., 11: 500–541, 1963.

    Google Scholar 

  18. Laufer, M.: Object loss and mourning during adolescence. Psychoanal. St. Child, 21: 269–293, 1966.

    Google Scholar 

  19. Deutsch, H.: Absence of grief. Psychoanal. Quart., 6: 12–22, 1937.

    Google Scholar 

  20. Wolfenstein, M.: Loss, rage and repetition. Psychoanal. St. Child, 25: 432–460, 1969.

    Google Scholar 

  21. Blos, P.: The concept of acting out in relation to the adolescent process. J. Am. Acad. Child Psychiat., 2: 118–143, 1963.

    Google Scholar 

  22. Erikson, E. H.: The problem of ego identity. J. Am. Psychoanal. Assn., 4: 56–121, 1956.

    Google Scholar 

  23. Blos, P.: Preoedipal factors in the etiology of female delinquency. Psychoanal. St. Child., 12: 229–249, 1957.

    Google Scholar 

  24. Sprince, M. P.: The development of a preoedipal partnership between an adolescent gril and her mother. Psychoanal. St. Child, 17: 419–450, 1962.

    Google Scholar 

  25. Kohut, H.: The Analysis of the Self. International Universities Press. New York. 1971.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Binder, J., Krohn, A. Sexual acting out as an abortive mourning process in female adolescent inpatients. Psych Quar 48, 193–208 (1974). https://doi.org/10.1007/BF01584683

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01584683

Keywords

Navigation