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ADHD, an account of a successful play therapy (psychoanalytical psychotherapy)
 

ADHD, an account of a successful play therapy (psychoanalytical psychotherapy)

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ADHD, an account of a successful play therapy (psychoanalytical psychotherapy)

ADHD, an account of a successful play therapy (psychoanalytical psychotherapy)

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    ADHD, an account of a successful play therapy (psychoanalytical psychotherapy) ADHD, an account of a successful play therapy (psychoanalytical psychotherapy) Document Transcript

    • ADHD, an account of a successful play therapy (psychoanalytical psychotherapy)
    • Case Report ADHD, an account of a successful play therapy (psychoanalytical psychotherapy) Puja Pushkarna* Psychoanalyst and Psychotherapist, Chief Psychologist, Department of Psychology, Apollo Hospital, Bhat, Ahmedabad, Gujarat 382428, India a r t i c l e i n f o Article history: Received 14 January 2014 Accepted 30 January 2014 Available online 17 March 2014 Keywords: Attention Deficit Hyperactivity Disorder Castration anxiety Oedipus Complex Oedipal love Play therapy a b s t r a c t In this case of a successful play therapy Attention Deficit Hyperactivity Disorder was cured without medication at Apollo Hospitals, Ahmedabad, psychology dept. A strong positive Oedipus Complex is revealed in the play, and its successful resolution through play therapy helped in the cure. Copyright ª 2014, Indraprastha Medical Corporation Ltd. All rights reserved. 1. Case P, a 6-year-old child studying in a premier school of Ahme- dabad was brought to the hospital with the complaints of hyperactivity and talking to himself for 1.5 years, and lack of concentration in studies, crying at school and shyness in approaching others for 6 months. The precipitating factor was a scolding by his class teacher for talking in the class. P was taken to the Tata Memorial Hospital, where after conducting the necessary investigations he was diagnosed to be suffering from Attention Deficit Hyperactivity Disorder. He was referred to Apollo Hospitals, Ahmedabad, psychology dept, for treatment. P’s therapy lasted for 8 months; he was seen for an hour twice a week, in his initial sessions his hyperactivity could be seen in his play. He would only play with small Maruti car and make it run all around in the room. He did not like to indulge in any other activity. As therapy progressed he started playing with more toy cars, toy trains, a Maruti van, jeep, etc. He would have a motor car race and the train would always win. When asked if the Maruti car (small in size) could win, he would say “It is not possible. If the car tried to win then it would meet with an accident and die.” or would sometimes say that the train would crush the car if the car tried to overtake it and demonstrated it in the session. If asked what happened to the driver, he would say, He is alright, nothing has happened to him.” (castration anxiety). * Tel.: þ91 9426009607. E-mail address: pushkarna_pooja@hotmail.com. Available online at www.sciencedirect.com ScienceDirect journal homepage: www.elsevier.com/locate/apme a p o l l o m e d i c i n e 1 1 ( 2 0 1 4 ) 3 5 e3 6 0976-0016/$ e see front matter Copyright ª 2014, Indraprastha Medical Corporation Ltd. All rights reserved. http://dx.doi.org/10.1016/j.apme.2014.01.010
    • After a few sessions he stopped playing with cars and started playing with blocks, he would make a house and an eagle with the blocks which according to him, would attack his mother and sister who were staying in that house and he would say it was his duty to protect them and the house from the eagle, as his father had gone out of town. He would run with a block piece, which he called a knife to kill the eagle, would kill the eagle and say that he had protected his family from the danger like his father (identification with the aggressor). One day in the therapy his mother left him at the hospital and went to purchase something. He came to the therapy room and started looking out of the window after playing for a few minutes, when he saw what he thought was his car (which was not) in which a lady was sitting; after a few sec- onds a man came and drove away the car. He became extremely violent and started saying that someone had taken his mother and gone away. He did not listen to the therapist and stopped playing. He ran out of the room and when he did not find his mother outside he was shocked and started to cry, and became unmanageable. Only after his mother came did he become quite. But after that he did not want to play and wanted to leave with her immediately. When the therapist made an interpretation in that session that he wanted to be with his mother and take her and go away, and that he was violent because someone else had taken her away instead, he said yes. That day he did not continue his 55 minutes session and left in 20 minutes (oedipal love for mother). As the therapy progressed he again started playing with cars but now a change was noticed in his game. He would line up the cars saying the silver car belonged to his father, the blue to his driver, the green to the therapist, the yellow to him and the white to his mother, he would arrange his car, his mother’s car and the therapist’s car next to one another and have a race. But now his car would win the race and his father’s would be last. When asked what would happen to him if he overtook his father’s car, he said nothing would happen to him or his car. The other inter- esting fact seen during these sessions was that the cars he now used to play with were of the same shape and size. He would keep changing the colors of the cars and the persons to which they were assigned. Whatever be the color of the car he assigned to himself, his car would win and his fa- ther’s would come last or second last. During the course of the therapy he had started per- forming well in his academics, related to people, played with other children and started feeling less scared of big boys who used to bully him. In one of the sessions he narrated to the therapist how he had beaten up a boy who was older and was bullying him in his school. During the termination of his therapy his hyperactive symptoms did return but they subside quickly and the termination was uneventful. A follow up call was made after 6 months and it was found out that he was doing well at school and his performance was good in his annual exams. He was well but the only symptom that appeared at times was that he would lose is concentration. Conflicts of interest The author has none to declare. f u r t h e r r e a d i n g 1. Sigmund Freud (translated from the German under the General Editorship of James Stracey), In collaboration with Anna Freud, assisted by Alix Stracey and Alan Tyson. a p o l l o m e d i c i n e 1 1 ( 2 0 1 4 ) 3 5 e3 636
    • Apollohospitals:http://www.apollohospitals.com/ Twitter:https://twitter.com/HospitalsApollo Youtube:http://www.youtube.com/apollohospitalsindia Facebook:http://www.facebook.com/TheApolloHospitals Slideshare:http://www.slideshare.net/Apollo_Hospitals Linkedin:http://www.linkedin.com/company/apollo-hospitals Blog:Blog:http://www.letstalkhealth.in/