The Challenges of Potential Destructiveness in Designing a Therapeutic Framework for Adolescents with Anorexia Nervosa.

The authors begin by presenting the epistemological foundations that enabled them to design a therapeutic mediation framework aimed at enhancing the treatment of hospitalized anorexic patients. This unique framework utilizes bodily exploration through sound and music vibration. The authors were inspired by a method of dynamic structuring of the body image through clay modeling, created by Gisela Pankow, and by the bodily aspects of the subject's relationship with the object in transitional phenomena and in playing, as elaborated by Donald W. Winnicott. A detailed account of a clinical experience with a young female patient highlights the way in which the framework helped reveal destructive fantasies linked to scenes of psychic conflict.1.