Dewald P A
St. Louis Psychoanalytic Institute.
J Am Psychoanal Assoc. 1989;37(4):997-1014. doi: 10.1177/000306518903700406.
Recognition of the widespread incidence of overt incest in childhood has significantly increased in recent years. The described long-term effects range from severe psychopathology and behavioral disorder to mild and subtle manifestations. The interplay of the child's sexual developmental processes and intrapsychic fantasies with the overtly incestuous behaviors adds complexity to the understanding of longterm effects. In this case presentation successful analysis revealed previously repressed extensive father-daughter incest resulting in typically autoplastic neurotic symptomatology and character formation. Effects on ego development and function were traced, and an attempt was made to develop recognition of cues suggestive of past overt incest. The case suggests that many additional factors contribute to the final long-term effects of overt incest in childhood.
近年来，人们对童年期明显乱伦现象普遍发生率的认识显著提高。所描述的长期影响范围从严重的精神病理学和行为障碍到轻微和微妙的表现。儿童性发育过程和内心幻想与明显的乱伦行为之间的相互作用增加了对长期影响理解的复杂性。在这个病例报告中，成功的分析揭示了以前被压抑的广泛的父女乱伦，导致了典型的自我塑造的神经症症状和性格形成。追踪了对自我发展和功能的影响，并试图培养对暗示过去明显乱伦线索的认识。该病例表明，许多其他因素促成了童年期明显乱伦的最终长期影响。
