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从幻觉到虚构:精神病中意义的建构

From Hallucination to Fiction: The Invention of Meaning in Psychosis.

作者信息

Lippi Silvia, Lehaire Célia, Petit Laetitia

机构信息

Centre de recherche psychanalyse médecine et société, Établissement Public de Santé Barthélémy Durand, Avenue du 8 mai 1945, 91152 Étampes, France. E-mail:

Aix-Marseille Univ., Laboratoire de psychopathologie clinique: langage et subjectivité (EA 3278), Centre Hospitalier Édouard Toulouse, 118 Chemin de Mimet, 13015 Marseille, France. E-mail:

出版信息

Psychoanal Rev. 2016 Dec;103(6):771-791. doi: 10.1521/prev.2016.103.6.771.

DOI:10.1521/prev.2016.103.6.771
PMID:27893344
Abstract

Taking their inspiration from a case history, the authors explore the effects of a writing workshop led by a professional writer for patients in a psychiatric hospital. This workshop allowed different modes of transference to unfold: transference to the analyst-therapist, transference to the writer who led the workshop, and transference to the other members of the group. The writing activity created conditions in which there could be a movement from hallucination to delusion-a delusion expressed in fiction through the act of writing. Psychotic patients "invent" a writing that remains unfinished and that relates to the experiences of persecution. Writing thus makes it possible for them to tolerate language, through its transformation into writing.

摘要

作者们从一个病历中获取灵感,探讨了由一位专业作家为精神病医院患者主持的写作工作坊的效果。这个工作坊让不同形式的移情得以展现:对精神分析治疗师的移情、对主持工作坊的作家的移情以及对小组其他成员的移情。写作活动创造了一种条件,使得从幻觉到妄想能够发生转变——一种通过写作行为在虚构作品中得以表达的妄想。精神病患者“创造”出一种未完成的写作,且这种写作与受迫害经历相关。通过将语言转化为写作,写作从而使他们能够容忍语言。

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