Rusca Roberto
Larkswood Center, Thorpe Coombe Hospital, 714 Forest Road, Walthamstow, London E17 3HP.
Am J Psychother. 2003;57(4):491-8. doi: 10.1176/appi.psychotherapy.2003.57.4.491.
Anorexia nervosa is an attempt of the self to refuse itself and devise an other self, with dissolution of the link between the self and the body. Although anorectics are often described as academically capable and attractive, in the author's experience they were preoccupied with superficial issues, their drive came not from the seductive promise of intellectual stimuli, but from negative expectations that needs cannot be met, driving one to rise above/outside of needs to "not need." The new self, incorporeal and totally controlled, in its controlling part, is at times perceived as a separate it controlling the mind. The new self, that so much wanted to be in control, is out of control by being under the orders of the it; supposedly not greedy, it has found new object of greediness in weight loss. The anorectic's feeling of "superiority" has relevant therapeutic implications.
神经性厌食症是自我对自身的一种拒绝,并塑造出另一个自我,同时自我与身体之间的联系也随之瓦解。尽管厌食症患者通常被描述为学业有成且颇具魅力,但根据作者的经验,他们往往专注于表面问题,其驱动力并非来自智力刺激所带来的诱人前景,而是源于需求无法得到满足的消极预期,促使其超越/超脱需求,达到“无需需求”的状态。这个无形且完全受控制的新自我,在其控制部分,有时会被视为一个独立的“它”在控制着思维。这个一心想要掌控一切的新自我,却因听从“它”的指令而失去了控制;本应不贪婪的它,却在减肥中找到了新的贪婪目标。厌食症患者的“优越感”感受具有相关的治疗意义。