Bleichmar Hugo
Universidad Pontificia Comillas, Madrid, Spain.
Psychoanal Q. 2010 Jan;79(1):71-93. doi: 10.1002/j.2167-4086.2010.tb00440.x.
Different types of pathological mourning are discussed, with the idea that refining psychoanalytic nosology in this sector can contribute to the enhancement of interventions more suitable for each. Primary fixation to the object--extant before the loss--is differentiated from secondary fixation, which occurs when suffering in the present leads to idealization of an object that is only then felt to be actually lost. The role of narcissism, guilt feelings, and paranoid anxieties in the process of pathological mourning is considered. Clinical material illustrates some of these conditions.
本文讨论了不同类型的病理性哀悼，认为完善该领域的精神分析疾病分类有助于增强更适合每种情况的干预措施。对客体的原发性固着（在丧失之前就已存在）与继发性固着有所区分，继发性固着发生在当下的痛苦导致对一个只有在那时才被感觉到实际丧失的客体进行理想化之时。文中还考虑了自恋、内疚感和偏执焦虑在病理性哀悼过程中的作用。临床资料说明了其中一些情况。
