Prince Robert
New York University, Postdoctoral Program in Psychoanalysis and Psychotherapy, New York City, NY, USA.
Am J Psychoanal. 2009 Dec;69(4):279-90. doi: 10.1057/ajp.2009.19.
Using the 7-year psychotherapy of a Holocaust survivor, this paper explores the sometimes contradictory aspects of approaches to trauma. Conceptualizing a "self in pain" as an alternative to contemporary conceptualizations of the traumatized person as having a damaged, dissociated or collapsed self leads to a corresponding alternative clinical approach. The paradoxes of traumatic memory and testimony necessitate an adaptational emphasis and the emergence of a "doubled" in contrast to a dissociated self. The decision to respect this "doubled" self involves a privileging of "reality" over "psychic reality" which then, paradoxically enables this patient to develop a phantasy life.
通过对一名大屠杀幸存者进行的7年心理治疗，本文探讨了创伤治疗方法中有时相互矛盾的方面。将“痛苦中的自我”概念化为当代对受创伤者的概念化的替代方案，即认为受创伤者的自我受损、解离或崩溃，这导致了相应的替代临床方法。创伤记忆和证词的悖论需要强调适应性，以及与解离自我形成对比的“双重”自我的出现。尊重这种“双重”自我的决定涉及到将“现实”置于“心理现实”之上，而这反过来又自相矛盾地使该患者能够发展出幻想生活。
