Clinical Implications for the Expressions of Self and Identity in Adolescent Psychotherapy: Case Studies of a Vampiress and a Gangster

Self and identity are examined as significant complementary processes in the psychoanalytic psychotherapy of two adolescent patients. The distinction between these processes is underscored as emergent from neuropsychological developmental changes while being expressed within a shared unconscious process. These cases examined how the analyst and patients fostered their co-constructed potential space for therapeutic transformation. Each patient had adopted compensatory identities in response to profound psychic conflict. The treatments explored the function of their identities as objectified processes to cope with psychic trauma while also addressing an essential respect for the subjectivity of self as a vehicle for psychological truth.