Sar Vedat, Oztürk Erdinç
Clinical Psychotherapy Unit and Dissociative Disorders Program, Department of Psychiatry, Istanbul University Istanbul Faculty Hospital, Istanbul, Turkey.
J Trauma Dissociation. 2007;8(4):69-89. doi: 10.1300/J229v08n04_05.
A novel socio-cognitive theory of dissociation and dissociative disorders is proposed. The model, which is both theoretical and clinical, is based on "functional dissociation of the self." A new concept is introduced in this paper: the sociological self. While the sociological self may have cultural and societal dimensions, it is regarded here as a universal phenomenon rather than a culture-bound one; as an individual psychological instance rather than a sociological concept per se. It is proposed that the main sources of dissociation are trauma-related detachment of the sociological and psychological selves and the subsequent amplification of the sociological self. Thus, effective psychotherapy must curtail the enlargement of the sociological self and reactivate the psychological self. It is hoped that this conceptualization will contribute to efforts both toward understanding the everyday dissociation of the average contemporary individual and toward developing novel psychotherapeutic approaches which might shorten the length of treatment of dissociative disorders.
本文提出了一种关于分离及分离性障碍的全新社会认知理论。该模型兼具理论性与临床性，基于“自我的功能性分离”。本文引入了一个新概念：社会学自我。尽管社会学自我可能具有文化和社会维度，但在此将其视为一种普遍现象而非受文化限制的现象；视为个体心理实例而非社会学概念本身。研究表明，分离的主要根源是与创伤相关的社会学自我和心理自我的脱离，以及随后社会学自我的放大。因此，有效的心理治疗必须抑制社会学自我的扩大，并重新激活心理自我。希望这一概念化有助于理解当代普通个体的日常分离现象，并有助于开发可能缩短分离性障碍治疗时长的新型心理治疗方法。
