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تعدادی خلاصه و جمع بندی به بهانه برگزاری جلسه "بدن خیانت میکند" که امروز بصورت هیبرید در سالن آمفی تئاتر بیمارستان روزبه و نیز در نرم افزار زوم به همت آکادمی روانکاوی بید و مرکز روان تحلیلی ایرانیان برگزار شد تقدیم میگردد.
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با سپاس از همه اساتید گرامی که دعوت ما را پذیرفتند و از دانش آنها بهره مند شدیم و نیز همکاران و اساتید و دانشجویانی که در این نشست حضور یافتند و رویدادی بزرگ را آفریدند.

Here’s a summary and a list of important points based on the text:

### Summary:
The text discusses Wilfred Bion's observations related to psychosomatic processes, particularly focusing on his concepts of the "psychosomatic breast" and "psychosomatic alimentary canal." Although Bion did not systematize a psychosomatic theory, he highlighted the significance of bodily symptoms in his clinical practice. The discussion also introduces the "alexithymic breast," representing emotional obstruction due to early traumatic experiences. The text aims to explore these concepts through clinical examples, illustrating the relationship between psychological states and somatic expressions.

### Important Points:
1. Bion's Theories:
- Developed theories of group dynamics, psychosis, and thinking but not a formal psychosomatic theory.
- Observed bodily symptoms in patients, suggesting an implicit model of somatization.

2. Psychosomatic Breast:
- Represents nurturing and emotional support.
- Functions as an object that facilitates the integration of physiological, emotional, and sensory experiences.

3. Psychosomatic Alimentary Canal:
- Metaphor for the digestion of experiences and emotions.
- Reflects how individuals process and integrate life experiences.

4. Alexithymic Breast:
- Represents an obstructive object stemming from early traumatic experiences.
- Leads to difficulties in expressing feelings, resulting in somatization of emotional pain.

5. Clinical Illustration:
- The text suggests that clinical cases can reveal the connection between somatic symptoms and unresolved psychic conflicts.
- Aims to demonstrate how these concepts inform psychoanalytic practice, particularly in understanding trauma and emotional development.

6. Contribution to Psychoanalytic Thought:
- Emphasizes the relevance of Bion's observations in contemporary psychoanalysis.
- Aims to enhance understanding of the interplay between mind and body in psychosomatic dynamics.

This summary encapsulates the essence of the text and highlights the key concepts related to Bion's contributions to understanding psychosomatic processes.

Historical Context of Parentectomy: Parentectomy, a harsh and invasive family-based intervention for asthma, was a dominant treatment for over 50 years. It involved separating children from their families, based on the belief that an unknown allergen in the home was causing asthma.
Evolution of Asthma Understanding: The understanding of asthma evolved from being seen as an allergic reaction to considering emotional and relational factors. Early theories suggested asthma was linked to unconscious reactions to family dynamics, particularly the mother-child relationship.
Impact of Family Emotional Environment: Studies have shown that the family emotional environment significantly impacts asthma. Negative family dynamics, such as high hostility and low warmth, are associated with worse asthma outcomes in children.
Modern Asthma Management: Advances in asthma treatment, such as potent and portable inhaled medications, have made parentectomy obsolete. Modern approaches focus on managing asthma with medication and understanding the role of family dynamics without resorting to invasive interventions.
Complexity of Family Factors: The studies in the Special Issue highlight the complexity of family factors in asthma management. Different family dynamics and processes affect asthma in various ways, and a simplistic approach to understanding these factors is insufficient. The research emphasizes the need for a nuanced understanding of how family interactions influence asthma outcomes.

The tension between medical and psychoanalytic models lies in their differing approaches to understanding and treating conditions. The medical model focuses on empirical diagnosis, progress, and treatment efficacy, often seeking a shared pathogen or underlying cause for physical symptoms. It tends to emphasize physiological explanations and may acknowledge stress as a factor but does not delve deeply into psychological aspects.
In contrast, the psychoanalytic model emphasizes the psychological factors and underlying emotional and cognitive processes that contribute to physical symptoms. It explores how trauma and emotional experiences manifest in the body, often lacking empirical evidence but providing a deeper understanding of the patient's internal world and symbolic meanings.
This tension is exemplified in conditions like ulcerative colitis, where psychoanalytic writers highlight psychological factors in the disease's etiology, while the medical model seeks more concrete, organic explanations. The challenge is integrating these approaches to gain a comprehensive understanding of illness, considering emotional, psychological, physiological, and sociological aspects.

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