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母婴心理治疗中的婴儿防御机制:以目光回避为例。

Infantile defences in parent-infant psychotherapy: The example of gaze avoidance.

作者信息

Salomonsson Björn

机构信息

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

出版信息

Int J Psychoanal. 2016 Feb;97(1):65-88. doi: 10.1111/1745-8315.12331. Epub 2015 May 19.

DOI:10.1111/1745-8315.12331
PMID:25988970
Abstract

Findings from parent-infant observational research have stimulated the development of intersubjective models of psychotherapeutic action. These models have brought out the infant as an interactive partner with the parent. Conversely, interest in describing the individual psyche of the baby has decreased, especially the unconscious levels of his/her experiences and representations. In parallel, clinicians and researchers have been less prone to apply classical psychoanalytic concepts when describing the internal world of the infant. The author argues that this is inconsistent with the fact that psychoanalytic theory, from its inception, was founded on speculations of the infant's mind. He investigates one such concept from classical theory; the defence. Specifically, he investigates if selective gaze avoidance in young babies may be described as a defence or even a defence mechanism. The investigation links with Selma Fraiberg's discussion of the phenomenon and also with Freud's conception of defence. The author also compares his views on the baby as a subject with those suggested by infant researchers, for example, Stern and Beebe. The discussion is illustrated by vignettes from a psychoanalytic therapy with a 3 month-old girl and her mother.

摘要

母婴观察性研究的结果推动了心理治疗作用的主体间模型的发展。这些模型将婴儿展现为与父母互动的伙伴。相反,对描述婴儿个体心理的兴趣有所下降,尤其是其经历和表征的无意识层面。与此同时,临床医生和研究人员在描述婴儿的内心世界时,不太倾向于应用经典精神分析概念。作者认为,这与精神分析理论从一开始就基于对婴儿心理的推测这一事实不一致。他从经典理论中探究了这样一个概念;防御。具体而言,他探究了婴儿的选择性目光回避是否可被描述为一种防御甚至是一种防御机制。该调查与塞尔玛·弗雷伯格对该现象的讨论以及弗洛伊德的防御概念相关联。作者还将他关于婴儿作为主体的观点与婴儿研究者(如斯特恩和比贝)提出的观点进行了比较。讨论通过对一名3个月大女孩及其母亲的精神分析治疗中的案例 vignettes 加以说明。

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