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关于饮食失调的人类学。一种色情化的自我认知。

For an anthropology of eating disorders. A pornographic vision of the self.

作者信息

Stanghellini G

机构信息

Università G. D'Annunzio, Chieti.

出版信息

Eat Weight Disord. 2005 Jun;10(2):e21-7. doi: 10.1007/BF03327536.

Abstract

In reading the considerations of the leading contemporary sociologists, attentive observers of the metamorphosis of identity in the post-modern age, a game came to my mind: "what if I mixed up quotes from these scholars' papers with extracts from patients' clinical reports, especially people suffering from so-called "eating disorders"? The objective of this game is to show how difficult it is to pick out the clinical fragments from the sociologists' descriptions of the "never ending task of assembling our Self". The game is to try to separate psychopathology from the Late Modern physiology of identity. The great psychopathologists from the last century offered us two major meaning organizers of identity and its disorders: the Freudian and the Jaspersian. Freud's notion of the "discontents with civilization" served to explain that widespread sense of malaise that characterizes the modern condition. As civilization has been built on our restraining our drives, civilized man ended up "trading in a part of his chances for happiness for a bit of security". Security is guaranteed by our submitting to norms of civilized living together. Neurosis, that feeling that permeates modern human beings who neither belong to themselves nor to others, is the agonizing result. The Jaspersian concept of the Ego consciousness is mainly based on the Kantian Self, the identity pole of subjectivity, standing above the stream of changing experience. It is a necessary condition for coherent experience. Also the Jaspersian Self presupposes coherence, since its main features include identity through time, a sense of unity and one of demarcation from the external world, and a feeling of being actively involved in one's own experiences and performances. In late modernity, identity is a task. Post-modern people have the task and necessity to be perpetually constructing themselves. Being, Self, are organized in a reflexive way. Individuals are forced to choose their own life style among a multitude of alternatives. Are the Freudian and the Kantian/Jaspersian models of the Self now still proving to be suitable for an adequate psychopathological analysis?

摘要

在研读当代主要社会学家的论述时,这些后现代身份转变的敏锐观察者引发了我的一个想法:“要是我把这些学者论文中的引述与患者临床报告的摘录混在一起,尤其是那些患有所谓‘饮食失调症’的人的报告,会怎样呢?”这个游戏的目的是展示从社会学家对“构建自我的无尽任务”的描述中挑选出临床片段是多么困难。这个游戏是试图将精神病理学与晚期现代身份生理学区分开来。上世纪伟大的精神病理学家为我们提供了身份及其紊乱的两个主要意义组织者:弗洛伊德式的和雅斯贝尔斯式的。弗洛伊德的“对文明的不满”概念用以解释那种表征现代状况的普遍不适之感。由于文明是建立在我们对本能的克制之上的,文明人最终“用一部分幸福的机会去换取一点安全感”。安全感是通过我们服从文明共处的规范来保证的。神经症,那种弥漫在既不属于自己也不属于他人的现代人身上的感觉,就是这种痛苦的结果。雅斯贝尔斯的自我意识概念主要基于康德的自我,即主体性的身份极点,凌驾于不断变化的经验之流之上。它是连贯经验的必要条件。同样,雅斯贝尔斯的自我也预设了连贯性,因为其主要特征包括随时间的同一性、统一感以及与外部世界的区分感,还有积极参与自身经验和行为的感觉。在晚期现代性中,身份是一项任务。后现代人有不断构建自身的任务和必要性。存在、自我是以一种反思的方式组织起来的。个体被迫在众多选择中挑选自己的生活方式。弗洛伊德式和康德/雅斯贝尔斯式的自我模型现在是否仍然适用于充分的精神病理学分析呢?

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