Matot J P
Service Médico-Psychologique, Hôpital Saint-Pierre, Bruxelles.
Ann Med Psychol (Paris). 1989 Sep-Oct;147(5):551-9.
The terms masochism and masochistic behaviour are clinically used for acceptations extending well beyond the relatively well-defined limits of sexual perversion. If it is indeed rather unusual to see a masochist pervert identified as such among psychiatric hospital or ambulatory patients, yet you very often find in a medical record the term masochist applied to a patient without there being any question of his sexual habits. This enlargement of the concept masochism has its roots in the works of Freud who introduces, next to the masochist perversion, notions of feminine and moral masochism. The aim of this paper is to re-situate in the light of psycho-analytic theory, the specificity of the various masochistic formulas in order to render them their semiologistic value, more particularly in connection with the therapeutic indications involved.
“受虐癖”和“受虐行为”这两个术语在临床上的应用范围，远远超出了性变态相对明确的界限。如果在精神病院或门诊患者中确实很少见到被明确诊断为受虐癖的人，但在病历中却经常会发现“受虐癖者”这个词被用于某个患者，而其性行为习惯并无问题。受虐癖概念的这种扩展源于弗洛伊德的著作，他在性变态的受虐癖之外，引入了女性受虐癖和道德受虐癖的概念。本文的目的是根据精神分析理论，重新定位各种受虐癖形式的特殊性，以便赋予它们符号学价值，尤其是与相关治疗指征相关的价值。
