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[青少年癔症症状学。对临床病例的思考]

[Hysterical symptomatology in adolescents. Reflections on clinical cases].

作者信息

Marocco Muttini C

机构信息

Istituto di Clinica Psichiatrica, Università degli Studi di Torino.

出版信息

Minerva Psichiatr. 1991 Jan-Mar;32(1):15-24.

PMID:2056887
Abstract

The body mediates the development of the personality before the acquisition of language allows a more complex structural level to be reached. Due to the remodelling process undergone by the personality during the course of adolescence, it easier to fluctuate between more evolved levels and others of a regressive type in which the body is again placed in the prime position as a means of expression and communication. In this study attention was focused on a few cases of hysterical syndrome in adolescents in whom inappropriate behaviour related to schooling or existential aspects could be traced back to a lack of tolerance towards their aggressivity on behalf of the environment in which they lived. Given the impossibility of expressing their aggression externally, despite the fact these episodes lacked control, and of directing it towards modes of behaviour more suited to self-affirmation, there followed a regression towards symptoms of somatic conversion; the adolescent's mental health is at risk since the readier social acceptance of the hysterical syndrome encourages its organisation into a constant feature rather than being merely an attempt to defend a lifestyle which is not yet consolidated and still open to non-pathological adaptation solutions.

摘要

在语言习得达到更复杂的结构水平之前,身体就介导了人格的发展。由于人格在青春期会经历重塑过程,所以在更成熟的水平和其他退行类型的水平之间更容易波动,在退行类型中,身体再次成为表达和交流的主要方式。在这项研究中,注意力集中在一些青少年癔症综合征病例上,在这些病例中,与学业或生存方面相关的不当行为可以追溯到他们所处的环境对其攻击性缺乏容忍度。尽管这些发作缺乏控制,但由于无法在外部表达他们的攻击性,也无法将其导向更适合自我肯定的行为模式,于是就出现了向躯体转换症状的退行;青少年的心理健康面临风险,因为社会对癔症综合征更易接受,这促使其形成一种持续的特征,而不仅仅是为了捍卫一种尚未巩固且仍可采用非病理适应解决方案的生活方式而做出的尝试。

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