Lombardi Riccardo
Via Dei Fienaroli 36, 00153 Roma, Italy.
Int J Psychoanal. 2008 Feb;89(1):89-110. doi: 10.1111/j.1745-8315.2007.00008.x.
The author focuses on the importance of the body in the analysis of patients with a defect of thinking. In many cases this defect is not fully evident until concrete and bodily aspects begin to emerge in sessions. In the absence of awareness of the body, the patient's personality is deprived of the main source of emotional stimulus, and mental growth is consequently paralysed. Hence the body is considered the starting point of mental processes and a progressive source of experience requiring the exercise of responsibility and thought. To indicate the theoretical background to this essentially clinical paper, some hypotheses about the body-mind link are very briefly considered. Specific emphasis is given to the development of Freud-Klein-Bionian theories about this subject and to some of Ferrari 's recent proposals. The author discusses four clinical cases, emphasizing the encounter with the body in analysis and its integration in emotional and thinking processes. The analyst's function in such cases is conceived mainly as that of midwife for a dialogue between the analysand 's body and mind.
作者在对思维缺陷患者的分析中着重强调了身体的重要性。在许多情况下,这种缺陷直到具体的身体层面在治疗过程中开始显现时才会完全明晰。若缺乏对身体的认知,患者的人格就会被剥夺主要的情感刺激源,进而导致心理成长陷入停滞。因此,身体被视作心理过程的起点以及需要运用责任感和思考能力的渐进式经验来源。为了阐述这篇本质上属于临床论文的理论背景,我们将非常简要地探讨一些关于身心联系的假说。特别强调了弗洛伊德 - 克莱因 - 比昂学派关于这一主题的理论发展以及费拉里最近提出的一些观点。作者讨论了四个临床案例,着重讲述了在分析过程中与身体的相遇以及身体在情感和思维过程中的整合。在这类案例中,分析师的作用主要被视为促成受分析者身心对话的助产士。