TY - JOUR A1 - Gazzillo, Francesco A1 - et al., T1 - Notes on some non-psychotic hypochondriacal states JF - International Forum of Psychoanalysis, Vol. 33 (No. 4, 2024), pp. 241-254. N2 - The aim of this paper is to propose a psychodynamic hypothesis based on control-mastery theory (CMT) about the self-punishment function of some non-psychotic hypochondriacal states. After a review of several major psychoanalytic hypotheses about hypochondria, we will show the main concepts of CMT, an integrative, relational, cognitive-dynamic theory of mental functioning, psychopathology, and therapeutic process that is the theoretical framework that has helped us understand and treat these states in our patients. We will then describe two clinical cases to show how some hypochondriacal states can be interpreted as self-punishments connected to three main kinds of guilt hypothesized by CMT: survivor guilt, burdening guilt, and separation/disloyalty guilt. Finally, we will discuss the implications of these hypotheses. Y1 - 2024 ER - TY - JOUR A1 - Gazzillo, Francesco A1 - Leonardi, Jessica T1 - Burdening guilt: Theoretical and clinical features JF - International Forum of Psychoanalysis, Vol. 33 (No. 2, 2024), pp. 039-050. N2 - The aim of this paper is to explore the theoretical and clinical features of burdening guilt according to control-mastery theory (CMT), an integrative, relational cognitive-dynamic theory of mental functioning, psychopathology, and psychotherapy. CMT posits that burdening guilt stems from the belief that one’s emotions, needs, and way of being are a burden to significant others. After having introduced some research data about the belief of being a burden to others, we will point out how CMT explains this belief in light of a coherent theory of development, emphasizing its connection with early traumatic or adverse experiences with caregivers that give rise to the formation of pathogenic beliefs. These beliefs are mostly unconscious, and influence the way people make sense of themselves and their reality, giving rise to symptoms, inhibitions, and maladaptive personality traits that obstruct the achievement of healthy and adaptive goals. We will then compare burdening guilt with omnipotent responsibility guilt and self-hate, highlighting the points of contact and the differences between these types of interpersonal guilt. Subsequently, we will point out the >double nature< of burdening guilt, describing how it represents both a self-blame for what one is, and the expression of the need to take care of important others. Finally, we will propose a clinical vignette to illustrate some manifestations of burdening guilt in the therapeutic context. Y1 - 2024 ER -