de Lantsheere B
Secteur de Psychothérapie psychanalytique et de psychosomatique, Hôpital Erasme, U.L.B.
Rev Med Brux. 2000 Sep;21(4):A214-8.
This paper summarizes a psychoanalytical vision on chronic pain. The classical medical model doesn't apply when faced with chronic pain from undetermined origin. The psychoanalytical approach is an option to skirt the dead-end situation presented by a patient who in fact suffers from pathological repression due to excess or failure. The focus is put on the necessity of learning from the patient, which fundamentally differs from the medical model. Finally, therapeutic propositions are offered in accordance to the more or less developed patient's insight capacities.
本文总结了对慢性疼痛的一种精神分析视角。当面对病因不明的慢性疼痛时,经典医学模式并不适用。精神分析方法是一种绕过患者因过度或失败而遭受病理性压抑所呈现的死胡同局面的选择。重点在于向患者学习的必要性,这与医学模式有根本区别。最后,根据患者洞察能力的发展程度提供了治疗建议。