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青少年自杀企图:杀死“infans”和寻求个体化-分离的一种方式。

Suicide attempt during adolescence: a way of killing the "infans" and a quest for individuation-separation.

机构信息

Université Paris Ouest Nanterre La Défense, France.

出版信息

Crisis. 2012;33(5):290-300. doi: 10.1027/0227-5910/a000135.

Abstract

BACKGROUND

Suicidal behavior among adolescents raises both the questions of object transactions and of how these objects have been internalized.

AIMS

This article uses a psychodynamic approach to highlight particularities of mental functioning in adolescents attempting suicide and presents the care provided for suicidal adolescents.

METHODS

The results of this longitudinal research are briefly outlined and a clinical vignette is presented illustrating the latent meaning of the suicidal gesture. The hypothesis is offered that the murder of a part of oneself is an important latent component of suicide attempts in teenagers.

RESULTS

Attempting suicide is interpreted as performing unconsciously in order to kill the insufficiently contained infans. The root of this word in Latin literally means "one who does not speak." We refer to infans as the idealized and speechless part of oneself subjugated to parental projections. A suicidal gesture is a way of relieving oneself of the part of the self that condenses trauma resulting from drives and parents' idealized expectations.

CONCLUSIONS

Therapeutic work helps adolescents express representations of the meaning of their violent gesture. Murder representations appearing after a suicide attempt modify violence linked to puberty drives and reshape identifications.

摘要

背景

青少年的自杀行为引发了关于客体关系以及这些客体如何被内化的问题。

目的

本文采用精神分析方法强调了试图自杀的青少年心理功能的特殊性,并介绍了对有自杀倾向的青少年的护理。

方法

简要概述了这项纵向研究的结果,并呈现了一个临床案例,说明了自杀行为的潜在含义。本文提出了这样一个假设,即自我谋杀是青少年自杀企图的一个重要潜在组成部分。

结果

试图自杀被解释为无意识地进行,以杀死未被充分容纳的infans。这个词在拉丁语中的词根字面意思是“不会说话的人”。我们将 infans 视为被父母理想化和沉默的自我的一部分,被压抑和服从于父母的投射。自杀行为是一种缓解自我的方式,将自己与由驱力和父母理想化期望引起的创伤凝结在一起的部分释放出来。

结论

治疗工作有助于青少年表达对其暴力行为的意义的表达。自杀企图后出现的谋杀表征修改了与青春期驱力相关的暴力,并重塑了认同。

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