JSS  Vol.5 No.10 , October 2017
Adolescence and Psychotic Destructuration Risk
Motivation: The ability to organize and make decisions in life ensures self-control and self-confidence. In assuming the tutor role (in the psychological dimension of meaning), the functions of maternalization and paternalization must be fulfilled, as well as ensuring the fulfillment of maternal, paternal roles after being incorporated by the child in order to be properly exercised. To determine the creative capacities or the systemic delirium as a solution for solving the failure to adapt to the socio-cultural environment, perceived as traumatic. Objectives: Psychological evaluation of the current profile and psychic personality structure for the understanding of the operational patterns. Testing mental capacity and the boundaries between real and imaginary that ensure success in the work of the therapeutic process, by having a departure prognosis. Hypothesis: In the case of patient T., the difficulties encountered may be caused by the onset of depression or possibly by adjustment disorder with anxiety on a dysfunctional attachment pattern. The essential element is the separation and division of the family for a period of one month from the onset of the stressor, involving both the vulnerability of the ego and the triggers, due to major life changes. The current difficulties and symptoms are internal and external disorganization, nervousness, amnesia, lack of interest and curiosity, affection disinvestment plus the excess-marked detraction model, and the major role of loneliness overlapping with family abandonment. Applied tools: anamnesis, clinical interview, building the life map, clinical scales to investigate the intensity of depression, anxiety, and the possible psychotic areal due to hereditary load of the patient-HAM D, HAM A, PANSS (to investigate prevalence phenomenology and differential diagnosis with the areal of an increase in the im-aginative function, given the artistic formation of the adolescent girl). The combined application of the depression and negative scale of PANSS aims to lead to a better differential diagnosis between depressive coloration versus the onset of a major psychiatric disease at risk of association with psychotic phenomena. Also, the complex investigation of personality also involved the administration of a Lusher projective test along with the tree test, face test, and family test. Results: The case study highlighted the Ego scattering that is immature (unintegrated and inappropriate) and the existence of mental underde-velopment to which the familial, social and environmental factors contributed in a negative way. During this period of adolescence, the patient tries to rely on defense mechanisms, which however fail, because of having a poor psycho-affective structure since primitive childhood. Conclusions: This case study focuses on the links between hereditary data, psycho-affective developmental structuring during the primitive stages of the early childhood, mental health, or the etiology of a personality disharmony, where the princeps characteristics, as well as the Social and environmental factors play an important role. Panss was used because it was very difficult to realize if the patient only has only a psychotic functioning or is facing a delirious profile due to the loneliness she experiences and becomes aware of once the separation of her parents occurs.
Cite this paper: Simona, T. , Miruna, D. , Florentina, G. and Ioana, T. (2017) Adolescence and Psychotic Destructuration Risk. Open Journal of Social Sciences, 5, 25-42. doi: 10.4236/jss.2017.510003.

[1]   American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition (text rev.). Washington DC.

[2]   Great Dictionary of Psychology Larousse (2006) Trei Publishing House, Bucharest.

[3]   Operationalized Psychodynamic Diagnosis OPD-2. Manual of Diagnosis and Therapy Planning (2012) Trei Publishing House, Bucharest.

[4]   Gabbard, G. (2007) Treatise of Psychodynamic Psychiatry. Trei Publishing House, Bucharest.

[5]   Kaplan, B. and Sadock, V. (2001) Pocket Manual of Clinical Psychiatry, Third edition. Medical Publishing House, Bucharest.

[6]   Mitrofan, I. and Stoica, C.D. (2005) Transgenerational Analysis in the Therapy of Unification. SPER Publishing House, Bucharest.

[7]   Romila, A. (2004) Psychiatry. 2nd Edition Revised, Association of Free Psychiatrists of Romania, Bucha-rest.

[8]   Trifu, S. and Petcu, C. (2010) Clinical Cases of Psychiatry. Complex Psy-chodynamic and Psychological Explanations. University Press, Bucharest.

[9]   Trifu, S., Nica, L. and Tilea, L. (2013) Psychopharmacology Guide. University Press, Bucharest.