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6
Introduction to
Clinical Case Illustrations

This chapter is divided into three sections. In the first, three clinical cases
of younger adolescents are introduced in order to illustrate instances of
less disturbed object relations functioning, and to document examples
where more disturbed developmental adaptation is manifest. In the sec-
ond, three clinical illustrations of youngsters in middle adolescence are
presented in order to again contrast adolescents' Rorschach and TAT
responses. Object representation material (e.g., MOA and SCORS results)
is translated into impressions about adolescents' object relations function-
ing, and clear and informative directives regarding therapeutic planning
are given. The final portion of the chapter provides clinical material of
three older adolescents. Case material serves to highlight aspects of dis-
turbance relating to self and others and the utility of object representations
data in regard to directing and informing clinical treatment directions
and parameters.

The nine case illustrations emphasize brief exposition of demo-
graphic and clinical material followed by the MOA and SCORS data.
This provides for inspection and evaluation of the adolescents' object
representation schemata, with this information then transformed into
observations and diagnostic formulations vis-à-vis the adolescents' ob-
ject relatedness. Finally, this material is used to generate hypotheses
and guidelines in relation to the treatment course, with particular focus
on articulating which treatment modalities seem indicated, what trans-
ference phenomena should be anticipated, and what additional areas
of concern need to be explored and addressed in light of object repre-
sentational material.

-90-

Questia, a part of Gale, Cengage Learning. www.questia.com

Publication Information: Book Title: The Assessment of Object Relations Phenomena in Adolescents: Tat and Rorschach Measures. Contributors: Francis D. Kelly - author. Publisher: Lawrence Erlbaum Associates. Place of Publication: Mahwah, NJ. Publication Year: 1997. Page Number: 90.
    
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