Hypochondrie – ein traumatisches Nicht-Trauma?

This work attempts to deepen earlier considerations on hypochondriasis. Hypochondriasis is understood as an autistoid actual neurosis, the core of which is an early loss of objects, which is accompanied by the abandonment of objectal hopes. As a result, unpsychicised states spread. But how can this core be understood? As a nameless state of nonexistence or as an unrepresented state? How are the most important defences of autistoid and perverse formations organized? It is shown that these autistoid and perverse defences are increasingly sought for their own sake, which, when self-generated and turned into the active, cement the retreat of such dynamics. This constellation is one of the reasons why it is so difficult to treat hypochondriasis, even if the changes in treatment techniques over the last two decades have opened up possibilities