{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T18:11:38Z","timestamp":1780596698773,"version":"3.54.1"},"reference-count":63,"publisher":"Guilford Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Psychoanalytic Review"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>This case study describes and analyzes the psychodynamic experiences of an adult hospitalized after an acute cardiac event. Pierre, a 46-year-old Brazilian man with a high level of education, sought medical care for chest pain and was diagnosed with acute myocardial infarction. He was immediately admitted to a hospital coronary care unit, where, after clinical stabilization, he agreed to undergo psychological assessment using self-report instruments and projective methods. While Pierre did not show clinical indicators of psychological distress on the self-report scales, his responses on the projective methods revealed signs of conflict in interpersonal relationships, with strong repression of affective experiences, suggesting difficulties in emotional management and a potential link to his physical illness. This case study, using a multimethod design, enriched the understanding of his psychological functioning and supported the identification of resources for coping with cardiac illness.<\/jats:p>","DOI":"10.1521\/prev.2026.113.2.103","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T17:49:44Z","timestamp":1780595384000},"page":"103-129","source":"Crossref","is-referenced-by-count":0,"title":["Psychic Dynamics in an Adult With Acute Coronary Syndrome: A Case Study"],"prefix":"10.1521","volume":"113","author":[{"given":"Aline Cristina","family":"Antonechen","sequence":"first","affiliation":[{"name":"E-mail:"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose-Ang\u00e9lique","family":"Belot","sequence":"additional","affiliation":[{"name":"E-mail:"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia Regina","family":"Pasian","sequence":"additional","affiliation":[{"name":"E-mail:"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"377","reference":[{"key":"ref1","unstructured":"Abduch, M. 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