Deitz J
Department of Psychiatry, Albert Einstein College of Medicine/Monteflore Medical Center.
J Am Acad Psychoanal. 1992 Summer;20(2):277-93. doi: 10.1521/jaap.1.1992.20.2.277.
This essay presents the case of a young man with severe posttraumatic stress disorder (PTSD) in order to demonstrate how a self-psychological orientation and psychotherapeutic approach enables acute symptoms to be relieved, while concomitantly addressing vulnerability in character structure. The self-psychological conceptualization of the psychodynamics of PTSD is discussed, along with a recently proposed neuropsychological theory of PTSD. After viewing the pertinent neurobiological research, an integration of the self-psychological concepts of transmuting internalization (a purported curative factor in psychotherapy) with neurobiological data and behavioral observations is presented.
本文介绍了一名患有严重创伤后应激障碍（PTSD）的年轻男子的案例，以展示自我心理学取向和心理治疗方法如何缓解急性症状，同时解决性格结构中的脆弱性问题。文中讨论了创伤后应激障碍心理动力学的自我心理学概念，以及最近提出的创伤后应激障碍神经心理学理论。在审视了相关神经生物学研究之后，本文将转化内化（心理治疗中一种所谓的治愈因素）的自我心理学概念与神经生物学数据及行为观察进行了整合。
