Suppr超能文献

[新社会,新家庭:一种新的基本人格?从神经质人格到自恋享乐主义人格]

[New society, new families: a new basic personality? From the neurotic to the narcissistic-hedonistic personality].

作者信息

Lazartigues A, Planche P, Saint-André S, Morales H

机构信息

CHU de Brest.

出版信息

Encephale. 2007 May-Jun;33(3 Pt 1):293-9. doi: 10.1016/s0013-7006(07)92042-4.

Abstract

BACKGROUND

In Occidental countries the frame of modern families has been reshaped, and vast economical and social changes have taken place over the last thirty years. They have been marked by the disengagement of the State in the marriage, a giant evolution in conjugality which is becoming privatized and made insecure, changes in gender relations, new motives and conditions for the arrival of the child in the couple, i.e. planned birth, wished or desired infant, infant conceived for oneself, and parenthood has been turned upside down through the extensive evolution of its laws and symbolic-landmarks as well as in practical experience. As these new coordinates of the family are now centred on the consensus instead of authority for the organisation of relationships between its members and on hedonism instead of duty as main value, with a child issued from the desire and acknowledged, from the onset, as a full person "the baby is a person" a child made "for oneself and for him/herself" (and not for the society), brought up in an environment where the media can be considered as a "third parent" because of it's growing importance, the structure of the child's psyche no longer matches the neurotic model.

LITERATURE FINDINGS

Studies made by anthropologists have led us to hypothesise a new "basic personality" in order to reflect the consequences of the new landmarks in society and the new family, as well as the outcome of new educational practices; this new "basic personality" would replace the basic normal/neurotic one, which dominated over the first half of the twentieth century.

CLINICAL ASPECTS

This basic personality, which could be termed as "narcissistic-hedonistic", is characterized by few internalizations, a poorly efficient Superego, nearly no guilt feeling, a weakly socialized Ideal Self suggesting more the Ideal Self of the early childhood, and finally a difficulty in experiencing or testing oneself as a free subject. The resulting narcissistic fragility leads the subject to be more dependent on external objects, to be allergic to frustration, to find delay in the achievement of instinctive aims hard to take, to develop an exaggerated pursuit of perception and sensations. The relation to time is also affected through a privileged investment in the present and the shading off of historical time. These changes must lead to a different subjectivity stemming from a new basic personality. Disorders may stem from three axis of this new basic personality: dependency with attachment disorders, narcissistic fragility, and a high risk of depression; guilt-free "narcissistic perversion" with people, who use other people for their own and exclusive interest, without real empathy; "light" psychopathy, with people capable of social integration for shorts periods of time, with a lot of breaking off in love, friendship, and professional ties.

CONCLUSION

This new configuration where specific pathologies are associated with a new basic personality implies serious thought with regards to care practices so as to adapt them to the patterns of patients.

摘要

背景

在西方国家,现代家庭结构已被重塑,过去三十年来发生了巨大的经济和社会变革。这些变革的标志是国家在婚姻中的退出、婚姻关系的巨大演变,婚姻关系正变得私有化且缺乏保障、性别关系的变化、孩子进入夫妻生活的新动机和条件,即计划生育、期望或渴望的婴儿、为自己生育的婴儿,并且通过法律和象征标志的广泛演变以及实际经验,为人父母的观念已经完全颠倒。由于这些新的家庭坐标现在以成员间关系组织的共识而非权威为中心,以享乐主义而非责任为主要价值观,孩子出于欲望而生,并从一开始就被视为一个完整的人“婴儿是一个人”,一个“为自己和他/她自己”(而非为社会)而生的孩子,在一个媒体因其日益重要而可被视为“第三父母”的环境中成长,孩子的心理结构不再符合神经症模型。

文献研究结果

人类学家的研究使我们假设一种新的“基本人格”,以反映社会和新家庭中这些新标志的后果,以及新教育实践的结果;这种新的“基本人格”将取代在二十世纪上半叶占主导地位的基本正常/神经症人格。

临床方面

这种基本人格可被称为“自恋享乐型”,其特点是内化较少、超我效率低下、几乎没有内疚感、社会化程度较低的理想自我更类似于幼儿期的理想自我,最后难以将自己体验或测试为一个自由主体。由此产生的自恋脆弱性导致个体更依赖外部对象、对挫折过敏、难以承受本能目标实现的延迟、过度追求感知和感觉。与时间的关系也受到影响,表现为对当下的特殊投入和历史时间的淡化。这些变化必然导致源于新基本人格的不同主体性。紊乱可能源于这种新基本人格的三个方面:伴有依恋障碍的依赖、自恋脆弱性和高抑郁风险;对人无内疚感的“自恋变态”,这些人利用他人以满足自己的排他性利益,没有真正的同理心;“轻度”精神病态,这些人能够在短时间内融入社会,但在爱情、友谊和职业关系中频繁破裂。

结论

这种特定病理与新基本人格相关联的新结构意味着在护理实践方面需要认真思考,以便使其适应患者的模式。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验