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自闭症、早期自恋性创伤与自我组织:母亲眼睛的形象有何作用?

Autism, early narcissistic injury and self-organization: a role for the image of the mother's eyes?

作者信息

McDowell Maxson J

出版信息

J Anal Psychol. 2004 Sep;49(4):495-519. doi: 10.1111/j.0021-8774.2004.00481.x.

Abstract

Holland elucidated the new paradigm of self-organization in complex adaptive systems. This paradigm holds for all living systems, including the personality. In conjunction with the theory of archetypes, self-organization suggests two radical hypotheses, one about early development, the other about the origins of autism. Autism is associated with several medical conditions, with genetic markers, and with infant visual deprivation. However none of these factors is either necessary or sufficient to cause autism. It is hypothesized that each of these factors increases the likelihood of a primary psychological deficit: failure to acquire, or retain, the image of the mother's eyes. This hypothesis was initially derived from analytic work with patients who have early narcissistic injury and with patients who have mild autistic traits. Both diagnoses may arise from the same initial disturbance: Symington argued that autism is an extreme form of infantile narcissism. Indirect evidence for the image-of-the-eyes hypotheses comes from the evolution of primates, from infant-mother observations, from observations of infant vision, and from experiments on vision in other vertebrates. Byrd recently confirmed that the incidence of autism is increasing dramatically. The image-of-the-eyes hypotheses suggest that this increase may be linked to increased use of non-maternal childcare for young infants.

摘要

霍兰德阐明了复杂适应系统中自组织的新范式。这种范式适用于所有生命系统,包括人格。结合原型理论,自组织提出了两个激进的假设,一个关于早期发展,另一个关于自闭症的起源。自闭症与多种医学状况、基因标记以及婴儿期视觉剥夺有关。然而,这些因素中没有一个是导致自闭症的必要或充分条件。据推测,这些因素中的每一个都会增加一种原发性心理缺陷的可能性:无法获得或保留母亲眼睛的形象。这一假设最初源于对早期有自恋损伤的患者以及有轻度自闭症特征的患者的分析工作。这两种诊断可能都源于相同的初始干扰:西明顿认为自闭症是婴儿自恋的一种极端形式。眼睛形象假设的间接证据来自灵长类动物的进化、婴儿与母亲的观察、婴儿视觉的观察以及其他脊椎动物的视觉实验。伯德最近证实自闭症的发病率正在急剧上升。眼睛形象假设表明,这种增加可能与更多地使用非母亲照顾幼儿有关。

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