Examination of the mechanism of identification in fibromyalgia syndrome in the context of early object relations

In this study, a qualitative examination was conducted by psychoanalytically oriented clinical observation and interview with people who were diagnosed with fibromyalgia syndrome. In the first part of the study, the aetiology of the fibromyalgia syndrome, the body in psychoanalytical theory, the mechanism of identification, pain, and early object relations are examined. This examination shows that the constitution of the subject is especially important in fibromyalgia syndrome. In the second part of the study, an evaluation of the psychoanalytically oriented clinical observations and interviews which was conducted with two female participants (for 16 and 10 weeks) aged over 25 years was presented. Sessions were planned for approximately 45 minutes. The sessions were supervised throughout the study. In this respect, this study shows that separation from the Other and the constitution of the subject play an important role in the psychosomatic clinic, especially in the experience of fibromyalgia syndrome. However, in both cases that observed, separation or the loss of a relative affects the outset or the increase of the psychosomatic symptoms. These bodily symptoms lack symbolic meaning due to the inability to mentalization. Therefore, the real of the body can directly be mentioned for these symptoms.