Aisenstein Marilia
Paris Psychosomatic School, 72 rue d'Assas, F-75006 Paris, France.
Int J Psychoanal. 2006 Jun;87(Pt 3):667-80. doi: 10.1516/0VBX-1HGY-T86R-P5CB.
Depending on whether or not psyche/soma is seen as singular or dual, one may construct different systems explaining man and the world, life and death. In the author's view, the discoveries of psychoanalysis offer a perfectly cogent and unique solution to the famous mind/body problem. In transferring the duality psyche/soma on to the duality of drives, psychoanalysis places the origin of the thought process in the body. In Beyond the pleasure principle, Freud discusses the drastic effect of a painful somatic illness on the distribution and modalities of the libido. He provides a starting point for the Paris Psychosomatic School's psychoanalytical approach to patients afflicted with somatic illnesses. To illustrate the technical implications of this theory the author relates two clinical cases.
根据心灵/身体被视为单一还是二元的,人们可以构建不同的系统来解释人类与世界、生与死。在作者看来,精神分析的发现为著名的身心问题提供了一个极具说服力且独特的解决方案。通过将心灵/身体的二元性转移到驱力的二元性上,精神分析将思维过程的起源置于身体之中。在《超越快乐原则》中,弗洛伊德讨论了痛苦的躯体疾病对力比多的分布和模式产生的剧烈影响。他为巴黎心身学派针对患有躯体疾病的患者的精神分析方法提供了一个起点。为了说明这一理论的技术含义,作者讲述了两个临床案例。