Fernandez L, Sztulman H
Université Toulouse-Le-Mirail, Toulouse II.
Encephale. 1999 May-Jun;25(3):233-43.
Research concerning the psychopathological aspects of dependence implicates a wide range of behaviors reassembled under the term of "dependence behaviors": sexual, medical, alcoholic and tobacco dependencies. Speech samples of dependent subjects show that encountering the object of dependence (product, element, ...) introduces a particular form of organized psychological processes. According to several authors, psychopathological dependence can be attributed to: early personality development; failures in the separation-individuation processes; disorders in mother-infant interactions; and a deficit in the psychological functioning of the subjects. For psychopathology, the dependence cannot be reduced to physiological dependence on the product but is understood rather in terms of a complex process indicative of either specific or non-specific suffering which is addressed by abused substance that represents a solution--the effects of which constitute the addictive process. Understanding this process requires an analysis of the psychopathological dependence from a triple meta-psychological viewpoint (topographical, dynamic, economic). Such analysis allows for a psychoanalytical theoretical interpretation of dependence based on three models: pleasure, narcissism and stress reduction. At the same time, the analysis extends the examination of psychopathological dependence towards issues concerning the body. Such body issues are critically placed between the biological and the psychological processes.
关于成瘾依赖心理病理学方面的研究涉及到一系列被归类为“成瘾依赖行为”的行为:性成瘾、药物成瘾、酒精成瘾和烟草成瘾。成瘾依赖者的言语样本表明,接触成瘾对象(产品、元素等)会引发一种特定形式的有组织的心理过程。几位作者认为,心理病理学上的成瘾依赖可归因于:早期人格发展;分离-个体化过程中的失败;母婴互动紊乱;以及个体心理功能的缺陷。对于心理病理学而言,成瘾依赖不能简单归结为对产品的生理依赖,而应理解为一个复杂的过程,该过程表明了由滥用物质所解决的特定或非特定痛苦,而滥用物质的效果构成了成瘾过程。理解这一过程需要从三重元心理学视角(地形学、动力学、经济学)对心理病理学成瘾依赖进行分析。这种分析允许基于三种模型(快乐、自恋和减压)对成瘾依赖进行精神分析理论解释。同时,该分析将心理病理学成瘾依赖的研究扩展到与身体相关的问题上。这些身体问题处于生物学和心理过程之间的关键位置。