Sklar Jonathan
British Psychoanalytical Society, UK.
J Am Acad Psychoanal Dyn Psychiatry. 2008 Spring;36(1):89-102. doi: 10.1521/jaap.2008.36.1.89.
Freud early in the history of analysis viewed hysteria in relation to trauma. This became a subject of great interest to Ferenczi particularly in his clinical activities in trying to find the balance between fantasy and trauma. The enactment in the body, as a psychosomatic symptom, is a way of unconsciously drawing attention to that which cannot be processed emotionally. A young man with a long-standing obsessional character had a sudden onset of motor disturbance. A recent set of family calamities triggered a psychosomatic defence against his having to be affectively in touch with a breakdown, which first occurred when he was 2 years old, and which he had never mourned. It was only after the development of a severe body tic following the family disruption that the possibility of finding lost affect and the capacity for an integration of the psychic and somatic became available through the analytic process.
弗洛伊德在精神分析学发展早期就从创伤的角度看待癔症。这成为了费伦齐特别感兴趣的一个主题，尤其是在他的临床活动中，他试图在幻想和创伤之间找到平衡。身体上的表现，作为一种身心症状，是一种无意识地将注意力引向无法在情感上处理的事物的方式。一名患有长期强迫性人格的年轻人突然出现运动障碍。最近一系列的家庭灾难引发了一种身心防御机制，以应对他不得不情感上接触一次崩溃经历的情况，那次崩溃首次发生在他两岁时，而他从未为此哀伤过。直到家庭破裂后出现严重的身体抽搐，通过分析过程才有可能找到失落的情感，并实现心理和身体的整合。
