Giustino Gabriella
Int J Psychoanal. 2009 Oct;90(5):1057-73. doi: 10.1111/j.1745-8315.2009.00189.x.
In this paper the author discusses a specific type of dreams encountered in her clinical experience, which in her view provide an opportunity of reconstructing the traumatic emotional events of the patient's past. In 1900, Freud described a category of dreams--which he called 'biographical dreams'--that reflect historical infantile experience without the typical defensive function. Many authors agree that some traumatic dreams perform a function of recovery and working through. Bion contributed to the amplification of dream theory by linking it to the theory of thought and emphasizing the element of communication in dreams as well as their defensive aspect. The central hypothesis of this paper is that the predominant aspect of such dreams is the communication of an experience which the dreamer has in the dream but does not understand. It is often possible to reconstruct, and to help the patient to comprehend and make sense of, the emotional truth of the patient's internal world, which stems from past emotional experience with primary objects. The author includes some clinical examples and references to various psychoanalytic and neuroscientific conceptions of trauma and memory. She discusses a particular clinical approach to such dreams and how the analyst should listen to them.
在本文中,作者讨论了她在临床经验中遇到的一种特定类型的梦,在她看来,这些梦为重构患者过去的创伤性情感事件提供了契机。1900年,弗洛伊德描述了一类梦——他称之为“传记式梦境”——这类梦反映了历史上的婴儿期经历,且不具备典型的防御功能。许多作者都认同,一些创伤性梦境具有恢复和疏解的功能。比昂通过将梦的理论与思维理论相联系,并强调梦的交流元素及其防御层面,对梦的理论进行了扩充。本文的核心假设是,这类梦的主要方面是传达梦者在梦中经历但却不理解的一种体验。通常可以重构患者内心世界的情感真相,并帮助患者理解和领悟这一真相,它源自过去与主要客体的情感经历。作者列举了一些临床实例,并提及了各种关于创伤和记忆的精神分析及神经科学概念。她讨论了针对这类梦的一种特定临床方法,以及分析师应如何倾听这些梦。