Tatarelli R
1a Clinica Psichiatrica, Università degli Studi di Roma, La Sapienza, Italy.
Ann Ist Super Sanita. 1992;28(2):197-202.
Some reflections and hypotheses on drugs and human interactions are presented from a psychiatric-psychotherapeutic point of view. Considering the drug both as an agent and a relational mediator, an attempt is made to systematize the interactive whole of the intraindividual and interindividual effects activated by drugs. The hypothesis is presented that pharmacological effects on mind are prevalently due to an energic action and that this action is status-specific, in other words relative to a mental-relational good order of the individual in that particular moment of his history. Concerning the extra-pharmacological effects in therapeutic relations, the values assumed from the drug during the course of the interaction are different and variable, depending in the same individual (patient or therapist) on superimposition of several experiential and semantic orders. Finally some elements of drug relational psychology are introduced.
本文从精神科-心理治疗的角度对药物与人类互动进行了一些思考并提出了假设。将药物视为一种媒介和关系调解者,试图对药物激活的个体内和个体间效应的互动整体进行系统化。提出的假设是,药物对心理的药理作用主要归因于能量作用,且这种作用是特定状态的,换句话说,它与个体在其特定历史时刻的心理-关系良好秩序相关。关于治疗关系中的非药理作用,药物在互动过程中所呈现的价值是不同且多变的,这取决于同一个体(患者或治疗师)中多种体验和语义秩序的叠加。最后介绍了药物关系心理学的一些要素。