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“The book The Astonishing Adolescent Upheaval in Psychoanalysis is
of great interest to any clinical psychoanalyst confronted with the
issue of adolescence in the 21st century. Through different
perspectives, renowned psychoanalysts of contemporary
adolescence present the psychoanalytic tools they use when facing
clinical situations that go beyond the emotional turmoil that is
expected for this period of life.”
Sergio Lewkowicz, professor and supervisor for psychoanalytic
psychotherapy in the Psychiatry Department of the Medical School of
the Federal University of Rio Grande do Sul, is a psychiatrist and
training and supervising psychoanalyst of the Porto Alegre
Psychoanalytic Society (SPPA). He is a member of the gender and
sexual diversity studies committee of the IPA.

“This book is brilliant, exciting, and very accessible; this is a rare

combination of articles and discussions from well-known
psychoanalysts from all over the world, Argentina, Brazil, Canada,
Italy, Switzerland, Turkey, and Uruguay. They share their complex
views on adolescence, dealing in depth with psychoanalytic theory.
Very interesting developments on the clinical association of isolation,
violence, addiction are presented in this volume, showing the
dynamics and the suffering at play from very early in life, and the
economics of the drives in narcissistic organizations. Many analytic
cures are presented, a rich material for thinking and education.”
Christine Anzieu-Premmereur, MD, PhD, is Assistant Clinical
Professor, Psychiatry, at Columbia University, and Faculty, Columbia
Psychoanalytic Center. She is also Chair of the IPA COCAP and Co-
Founder of Pulsion.of Pulsion.
The Astonishing Adolescent
Upheaval in Psychoanalysis

This book brings together international contributors to share insight

from their theoretical and clinical work with adolescents, considering
the different psychopathological responses they see in adolescent
patients and how these can be worked with in analysis.
Each chapter addresses a specific topic, focusing on representing
the clinical realities facing psychoanalysts in treating adolescents
with different types of disturbances at the psychic level. They cover
a range of situations and perspectives, including discussion of
maternal violence, the erotic field, self-mutilation, and social
withdrawal, with a core focus on issues affecting contemporary
adolescents. Bringing together a vast range of experience, The
Astonishing Adolescent Upheaval in Psychoanalysis presents a new
approach which re-establishes the impact of the responses of
significant objects in the impasses present in narcissistic suffering.
This book will be of great interest to all psychoanalytic and
psychodynamic clinicians working with adolescents.

Roosevelt Cassorla, MD, PhD, is a training analyst at the Brazilian

Psychoanalytic Societies of São Paulo and Campinas. He is Full
Professor at the State University of Campinas and a member of the
College of The International Journal of Psychoanalysis. His recent
books include Advances in Contemporary Psychoanalytic Field
Theory (co-editor) and The Psychoanalyst, the Theatre of Dreams
and the Clinic of Enactment (both Routledge), and Suicide Studies:
Psychoanalysis and Mental Health (in Portuguese). He received the
2017 Mary S. Sigourney Award for Outstanding Achievement in
Psychoanalysis.

Silvia Flechner, MD, is a child, adolescent, and adult training

analyst at the Uruguayan Psychoanalytic Society. She is the IPA
Publications Committee Chair for the term 2021–2025, and she has
been a member of the Board of the International Journal of
Psychoanalysis since 2008.
Psychoanalytic Ideas and Applications Series
Series Editor: Silvia Flechner

The Infinite Infantile and the Psychoanalytic Task

Psychoanalysis with Children, Adolescents and their Families
Edited by Nilde Parada Franch, Christine Anzieu-Premmereur, Mónica
Cardenal and Majlis Winberg Salomonsson

A Psychoanalytic Understanding of Trauma

Post-Traumatic Mental Functioning, the Zero Process, and the
Construction of Reality
Joseph Fernando

The Poetry of the Word in Psychoanalysis

Selected Papers of Pere Folch Mateu
Edited by J.O. Esteve and Jordi Sala

The Freudian Matrix of André Green

Towards a Psychoanalysis for the 21st Century
Edited by Howard B. Levine

Desire, Pain and Thought

Primal Masochism and Psychoanalytic Theory
Marilia Aisenstein

Trauma and Pain Without a Subject

Disruptive Marks in the Psyche, Resignified
Juan-Eduardo Tesone

Outsider Art and Psychoanalytic Psychiatry

The 'Nativity of Fools' at the Cogoleto Psychiatric Hospital
Cosimo Schinaia

The Astonishing Adolescent Upheaval in Psychoanalysis

Edited by Roosevelt Cassorla and Silvia Flechner
The Astonishing Adolescent
Upheaval in Psychoanalysis

Edited by
Roosevelt Cassorla and Silvia
Flechner
Designed cover image: © Getty Images

First published 2024

by Routledge
4 Park Square, Milton Park, Abingdon, Oxon OX14 4RN

and by Routledge
605 Third Avenue, New York, NY 10158

Routledge is an imprint of the Taylor & Francis Group, an informa business

© 2024 selection and editorial matter, Roosevelt Cassorla and Silvia Flechner;
individual chapters, the contributors

The right of Roosevelt Cassorla and Silvia Flechner to be identified as the authors
of the editorial material, and of the authors for their individual chapters, has been
asserted in accordance with sections 77 and 78 of the Copyright, Designs and
Patents Act 1988.

All rights reserved. No part of this book may be reprinted or reproduced or utilised
in any form or by any electronic, mechanical, or other means, now known or
hereafter invented, including photocopying and recording, or in any information
storage or retrieval system, without permission in writing from the publishers.

Trademark notice: Product or corporate names may be trademarks or registered

trademarks, and are used only for identification and explanation without intent to
infringe.

British Library Cataloguing-in-Publication Data

A catalogue record for this book is available from the British Library

Library of Congress Cataloging-in-Publication Data

Names: Cassorla, Roosevelt M. S. (Roosevelt Moises Smeke), editor. | Flechner,
Silvia, editor.
Title: The astonishing adolescent upheaval in psychoanalysis / edited by Roosevelt
Cassorla and Silvia Flechner.
Description: Abingdon, Oxon ; New York, NY : Routledge, 2024. |
Series: Psychoanalytic ideas and applications series | Includes bibliographical
references and index. |
Identifiers: LCCN 2023042212 (print) | LCCN 2023042213 (ebook) |
Subjects: LCSH: Adolescent analysis.
Classification: LCC RJ503 .A88 2024 (print) | LCC RJ503 (ebook) | DDC
616.89/170835--dc23/eng/20231213
LC record available at https://lccn.loc.gov/2023042212
LC ebook record available at https://lccn.loc.gov/2023042213

ISBN: 978-1-032-46151-9 (hbk)

ISBN: 978-1-032-46150-2 (pbk)
ISBN: 978-1-003-38028-3 (ebk)

DOI: 10.4324/9781003380283
Contents

Series foreword
Foreword
List of contributors

1 Stupidity in the analytic field: Vicissitudes of the detachment

process in adolescence
ROOSEVELT M. CASSORLA

2 Cherchez la femme – becoming a woman: The mother-

daughter relationship during adolescence
SILVIA FLECHNER

3 Of skin and of self-mutilation in adolescence

MARTIN GAUTHIER

4 The turbulence of puberty in an uncertain world

VIRGINIA UNGAR

5 What prevents adolescents from suicide?

FRANÇOIS LADAME

6 Effects of adolescent debut on the infantile super-ego

CARLOS MOGUILLANSKY
7 Braving the erotic field in the treatment of adolescents
MARY BRADY

8 In praise of modesty – in defence of a certain mystery

RUGGERO LEVY

9 Towards the construction of the adult identity: Another

adolescent mourning
MICHELE AIN

10 Working with adolescents: formlessness, fears and

transformation
NERGIS GÜLEÇ

11 Social withdrawal in adolescence: Psychodynamic reflections

and clinical strategies
THOMAS MARCACCI

Index
Series foreword

The Publications Committee of the IPA is pleased to present another

book in the Psychoanalytic Ideas and Application Series – The
Astonishing Adolescent Upheaval in Psychoanalysis.
Adolescent psychoanalysis constantly confronts us with a transit
process in which life, acting, sexuality, and death are played out. The
instinctual (trieb) movements that peculiarly come into play
predominantly are expressed through the body as acting out or
passage to act; acting that, in many cases, takes the form of an
intrusive and violent act for the adolescent himself or for his
environment.
The pubescent body and its passage to adolescence is always a
complicated moment due to a transformational psychophysical state.
The adolescent body can escape self-control and thus harm or attack
itself or others. Self-harm, as well as other symptoms, such as drug
addiction or anorexia or bulimia nervosa, are some examples of
profound disorders that originate in the mother-infant relationship,
subsequently being involved in family, social and cultural factors.
The contributions to this book aim to show, from a theoretical-
clinical point of view, the enormous difficulties that adolescents go
through from a broad point of view and tries to cover the thought of
psychoanalysts from different regions, thus showing their
peculiarities and characteristics.
We hope that it will be helpful for all those analysts who work with
adolescents and that the book opens up new conceptualizations
about treatment in the analysis of adolescent patients.

Silvia Flechner
Series Editor
Chair IPA Publications Committee
Foreword

The treatment of adolescent patients will always be a challenge for

the analyst. The catastrophic repetition of an original insufficiency in
the relationship between the mother and the baby will generate a
broad range of situations of extreme danger that will appear
throughout childhood but will be defined in adolescence.
Broadly, the kind of difficulties with which adolescents develop
nowadays starts from early intrapsychic conflicts. The consequences
show pathologies reflected in acting out with high degrees of risk
framed within positions, such as addiction, anorexia, aggression, and
violence, including death, indicating the impossibility of control of
any limit, whether internal or external. Their aggravation allows us
to question ourselves about the contemporary adult’s psychic
libidinal economy, crystallizing unusually during adolescence. What
do we see in young adolescents today? First, there would seem to
be a lack of interest in sexuality, a desexualizing excitement;
motivations are centred much more on extreme situations,
addictions of all kinds, including social networks, as a matter of
isolation, and events that seem to have more to do with “stopping
the feelings” or not being emotionally involved as far as the
excitement that can generate a certain subjection with the other.
However, despite the changes, oedipal anxiety is always present.
It will appear covert and masked yet in need of understanding. In
those cases of early abandonment by the adult, where the absence
of the presence of the word, or the limit, becomes the trace of
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