Schrut Albert
Southern California Psychoanalytic Institute, CA, USA.
J Am Acad Psychoanal Dyn Psychiatry. 2005 Summer;33(2):333-49. doi: 10.1521/jaap.2005.33.2.333.
A clinical observation suggests a hypothesis that differs from classical analytic oedipal theory as to the origin and psychodynamics of a type of male sexual masochism. This type of masochism may occur when a painful childhood life experience regarding severely forbidden sexual pleasure is associated and amalgamated with shame, humiliation, and feared physical and psychological punishment resulting in sexual pleasure. If this takes place with sufficient frequency during the critical phases of childhood sexual development, possibly including early adolescent sexual development, it becomes recorded as long-term memory in brain neural networks. The phenomenon of its recording includes, at least in part, the commonly accepted theory of Donald Hebb. In later years, the man feels compelled to reproduce in a masochistic ritual the former childhood psychological and physical conditions, to bring about the most intense sexual pleasure. Humiliation, shame, discomfort, helplessness, and even possible pain are simulated or actually instigated. By voluntarily placing himself in charge of the type of sadistic treatment he receives in acts of masochism, a patient may unconciously place himself in charge of his plight, in an attempt to master it, in contrast to his childhood helpless state. This formulation does not require an Oedipal explanation.
一项临床观察提出了一个假说，该假说在一种男性性受虐癖的起源和心理动力学方面与经典的分析性俄狄浦斯理论不同。当童年时期关于严重禁忌的性快感的痛苦生活经历与羞耻、屈辱以及对身体和心理惩罚的恐惧相联系并融合在一起，从而产生性快感时，这种类型的受虐癖可能就会出现。如果这种情况在童年性发育的关键阶段，可能包括青少年早期性发育阶段，频繁发生，它就会作为长期记忆记录在大脑神经网络中。其记录现象至少部分包括唐纳德·赫布的普遍接受的理论。在后来的岁月里，这个人会感到被迫在受虐仪式中重现以前童年的心理和身体状况，以带来最强烈的性快感。羞辱、羞耻、不适、无助，甚至可能的疼痛都会被模拟或实际引发。通过在受虐行为中自愿接受他所遭受的那种施虐治疗，患者可能会在不知不觉中掌控自己的困境，试图掌控它，这与他童年时的无助状态形成对比。这种表述不需要俄狄浦斯式的解释。
