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婴儿发展研究对精神动力学理论与实践的启示。

Implications of research on infant development for psychodynamic theory and practice.

作者信息

Zeanah C H, Anders T F, Seifer R, Stern D N

出版信息

J Am Acad Child Adolesc Psychiatry. 1989 Sep;28(5):657-68. doi: 10.1097/00004583-198909000-00004.

Abstract

Recent research on infant development is reviewed to consider its implications for psychodynamic theory and practice. To address the question of the importance of early experiences for development, research on continuities and discontinuities in development, temperament, motivational systems in infancy, affect development and regulation, development of the sense of self, and infant-caregiver attachment are reviewed. Two major implications emerge, both emphasizing the need for more complexities in our conceptualizations. First, research on infant development underscores the importance of context in development and cautions about the limits of reductionistic thinking and theories. Second a major paradigmatic shift away from the fixation-regression model of psychopathology and development is indicated. A new model that better fits available data is proposed instead. In this continuous construction model, there is no need for regression, and ontogenetic origins of psychopathology are no longer necessarily tied to specific critical or sensitive periods in development. Implications for psychodynamic treatment are also described.

摘要

本文回顾了近期关于婴儿发展的研究,以探讨其对精神动力学理论与实践的启示。为了探讨早期经历对发展的重要性这一问题,本文回顾了关于发展中的连续性与不连续性、气质、婴儿期的动机系统、情感发展与调节、自我意识的发展以及婴儿与照顾者依恋关系的研究。由此产生了两个主要启示,均强调我们在概念化过程中需要考虑更多的复杂性。首先,婴儿发展研究强调了发展背景的重要性,并警示了还原论思维和理论的局限性。其次,表明了从精神病理学和发展的固着-退行模型向一个重大范式转变。取而代之的是提出了一个更符合现有数据的新模型。在这个连续建构模型中,不再需要退行,精神病理学的个体发生起源也不再必然与发展中的特定关键期或敏感期相关联。本文还描述了对精神动力学治疗的启示。

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