McCarthy J B
Lenox Hill Hospital, Queen's Children's Psychiatric Center, New York, NY.
Am J Psychoanal. 1990 Jun;50(2):181-6. doi: 10.1007/BF01250913.
Family research studies confirm that abusive parents tend to be undifferentiated partners who compete with each other and with their children for attention and nurturance. More or less healthy parents make demands on children to counteract their own injured narcissism, but they do so largely without devaluation and the sadistic use of projective identification. Under sufficient stress abusive parents attack the child who fails to gratify their needs, thereby giving vent to longstanding frustrations and feelings of being threatened by the child's individuation and competency. The emotional atmosphere in such families facilitates ego deficits like those of the borderline personality as it molds the child's efforts to avoid anxiety. Devaluation, loss, and defenses against mourning partially account for depression and paranoid traits in abused youngsters. Early neglect and abuse exposes them to influential models who act out rage and primitive defenses. Some abused individuals project their rage and later become paranoid or antisocial, whereas others fragment or retain infantile defenses. The destructiveness of severe psychological abuse lies in the constriction of the experiencing self and healthy character development, together with the conditioning to repeat abusive relationships and to avoid intimacy. Achieving individuation under these circumstances entails overcoming the internalized abusive relationships and relinquishing the unconscious wish to be transformed from the abused into the abuser.
家庭研究证实,有虐待行为的父母往往是缺乏分化的伴侣,他们相互竞争,也与孩子争夺关注和养育。或多或少健康的父母会对孩子提出要求,以抵消自己受伤的自恋,但他们这样做在很大程度上不会贬低孩子,也不会恶意使用投射性认同。在足够的压力下,有虐待行为的父母会攻击未能满足他们需求的孩子,从而发泄长期以来的挫折感以及因孩子的个体化和能力而产生的受威胁感。此类家庭中的情感氛围会助长类似边缘型人格的自我缺陷,因为它塑造了孩子避免焦虑的努力。贬低、丧失以及对哀悼的防御在一定程度上导致了受虐待青少年的抑郁和偏执特质。早期的忽视和虐待使他们接触到表现出愤怒和原始防御的有影响力的榜样。一些受虐待的个体将愤怒投射出去,后来变得偏执或反社会,而另一些人则分裂或保留婴儿期的防御。严重心理虐待的破坏性在于体验自我的受限和健康性格的发展,以及重复虐待关系和避免亲密关系的条件作用。在这种情况下实现个体化需要克服内化的虐待关系,并放弃从受虐者转变为施虐者的无意识愿望。