Dyslexia and psychodynamics: A case study of a dyslexic adult.

The interaction between dyslexia and its secondary emotional problems, especially those arising from unproductive defenses, is illustrated in the history and successful treatment of an adult dyslexic male. At the start of treatment, the 33-year-old subject was illiterate, despite an average IQ and a history of many previous educational and therapeutic interventions. Psychological problems, including low self-esteem, alcohol abuse, temper outbursts, and poor relationships with women were seen as largely secondary to the subject's learning problem. A review of the treatment, consisting of remediation concurrent with psychodynamic psychotherapy, reveals specific ways in which these emotional problems hindered educational efforts, as well as ways in which their exploration and resolution in psychotherapy helped the remediation. Similarly, ways in which the subject's learning problem contributed to the development of his emotional problems are discussed. Finally, with reference to the psychoanalytic concept of sublimation, the relationship between improvement in the subject's reading skill and improvement in his impulse control is described.