Brookes Crittenden E
University of California Medical Center, San Francisco, CA, USA.
J Am Acad Psychoanal Dyn Psychiatry. 2007 Fall;35(3):417-30. doi: 10.1521/jaap.2007.35.3.417.
Previous papers dealt with the concept of psyche as that dynamic field which underlies the subjective experience of mind. A new paradigm, psychodynamic science, was suggested for dealing with subjective data. The venue of the psychotherapeutic consulting room is now brought directly into science, expanding the definition of psychotherapy to include both humanistic and scientific elements. Certain concepts were introduced to amplify this new scientific model, including psyche as hypothetical construct, the concept of meaning as replacement for operational validation in scientific investigation, the synonymity of meaning and insight, and the concept of synchronicity, together with the meaning-connected affect of numinosity. The presence of unhealthy anxiety as the conservative ego attempts to preserve its integrity requires a deeper look at the concept of meaning. This leads to a distinction between meaning and erroneous meaning. The main body of this paper amplifies that distinction, and introduces the concept of intolerance of ambiguity in the understanding of erroneous meanings and their connection with human neurosis.
以往的论文探讨了心灵的概念,即作为心理主观体验基础的动态场域。有人提出了一种新的范式——心理动力学科学,用于处理主观数据。心理治疗咨询室的场景现在被直接引入科学领域,将心理治疗的定义扩展到包括人文和科学元素。引入了某些概念来充实这一新的科学模型,包括将心灵视为假设性结构、用意义的概念取代科学研究中的操作验证、意义与洞察的同义性、同步性的概念,以及与神圣感相关的意义联系情感。当保守的自我试图维护其完整性时出现的不健康焦虑,需要更深入地审视意义的概念。这就导致了意义与错误意义之间的区分。本文主体部分详述了这种区分,并引入了在理解错误意义及其与人类神经症的联系时的模糊容忍度概念。