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“梦是愿望的达成”:创伤性梦境、强迫性重复与快乐原则。

"A dream is the fulfillment of a wish': traumatic dream, repetition compulsion, and the pleasure principle.

作者信息

Adams-Silvan A, Silvan M

出版信息

Int J Psychoanal. 1990;71 ( Pt 3):513-22.

PMID:2228449
Abstract

This paper describes the case of a battle veteran who suffered from a repetitive traumatic dream and symptoms of a traumatic stress disorder. Psychodynamic exploration revealed the basic wish-fulfilling aspects of both the dream and the fact of its repetition. The patient's obsessional preoccupation with his war experiences was also in significant part determined by unconscious wishes to repeat the infantile experience it represented. It is suggested that the repression of pleasure according to the classic psychoanalytic model is as important a dynamic in the dreams and symptoms associated with specific traumata as with any other neuroses. The question is raised as to whether a repetition compulsion, of normal or pathological intensity, may reflect the wish to repeat a descriptively unconscious pleasurable component of a disturbing experience, as well as to master it.

摘要

本文描述了一名战斗老兵的案例,他患有反复出现的创伤性梦境以及创伤后应激障碍症状。心理动力学探索揭示了梦境及其重复现象的基本愿望满足方面。患者对战争经历的强迫性关注在很大程度上也由无意识的愿望所决定,即重复其代表的婴儿期经历。研究表明,根据经典精神分析模型对快感的压抑,在与特定创伤相关的梦境和症状中,与在任何其他神经症中一样,都是重要的动力学因素。文中提出一个问题,即正常或病理性强度的重复强迫,是否可能反映出重复令人不安经历中描述性无意识快感成分以及掌控它的愿望。

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