Fleischer Les M
J Am Psychoanal Assoc. 2015 Apr;63(2):271-97. doi: 10.1177/0003065115583061.
The value of Charles Brenner's ideas regarding depression is assessed, focusing on the significance of castration depressive affect. His discussion of whether depression is an affect, a signal affect, or an illness is examined, with special emphasis on his failure to sufficiently address depression as an illness or disorder as defined by psychiatry. Clinical material from the analysis of a man who suffers from severe depression suggests that incorporating psychiatric concepts (biological and pharmacological) with modern conflict theory can be a useful way to understand and treat some patients with depression. Theoretical and clinical controversies associated with combining psychiatric/biological and psychoanalytic views of depression are examined.
本文评估了查尔斯·布伦纳关于抑郁症观点的价值，重点关注阉割抑郁情感的重要性。文中审视了他对抑郁症究竟是一种情感、一种信号情感还是一种疾病的讨论，特别强调了他未能充分探讨抑郁症作为精神病学所定义的一种疾病或障碍这一问题。对一名患有严重抑郁症男子的分析所得出的临床资料表明，将精神病学概念（生物学和药理学方面）与现代冲突理论相结合，可能是理解和治疗某些抑郁症患者的一种有效方法。文中还探讨了与结合抑郁症的精神病学/生物学观点和精神分析观点相关的理论及临床争议。
