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一名恶性胸膜间皮瘤患者的自我肯定驱力与现实原则:朱利亚的病史。

The Drive For Self-Assertion And The Reality Principle In A Patient With Malignant Pleural Mesothelioma: The History of Giulia.

作者信息

Granieri Antonella

机构信息

Department of Psychology, University of Turin, Via Po 14, 10123, Turin, Italy.

出版信息

Am J Psychoanal. 2017 Sep;77(3):285-294. doi: 10.1057/s11231-017-9099-0.

DOI:10.1057/s11231-017-9099-0
PMID:28740198
Abstract

Life in a contaminated environment is often marked by a cumulative psychological trauma that exhibits a variety of social-environmental aspects. This is why I suggested a psychotherapeutic group intervention for the population of Casale Monferrato, a municipality in Northern Italy that is sadly renowned for asbestos-related events and the high mortality rate of its inhabitants. Groupality appears to show the point of contact between psyche and soma, while also promoting the birth of a more realistic approach to the various levels of suffering and their configuration. The multifamily approach seemed to be the most adequate to elaborate the feelings of rage and fear that are concurrent with the aerial contagion. In the "long wave" of group work we have learned to work with participants as well as with empty chairs, the ghosts of the dead: live traces in the mind. Whereas the mind recovers the possibility of entering into a dialogue with the feelings connected to the trauma, without bypassing them towards actions that are apparently more assertive of one's sense of Ego, the will of conciliation can reactivate a thought that is oriented towards the plane of reality.

摘要

生活在受污染的环境中,往往伴随着累积的心理创伤,这种创伤呈现出各种社会环境层面的特征。这就是为什么我建议对卡萨莱蒙费拉托的居民进行心理治疗小组干预,卡萨莱蒙费拉托是意大利北部的一个市镇,不幸的是,它因与石棉相关的事件以及居民的高死亡率而闻名。群体心理似乎显示了心理与身体的接触点,同时也促进了一种更现实的方法的诞生,以应对不同层面的痛苦及其构成。多家庭治疗方法似乎最适合阐述与空气传播同时存在的愤怒和恐惧情绪。在小组工作的“长波”中,我们学会了与参与者以及空椅子一起工作,这些空椅子代表着死者的幽灵:是留在脑海中的鲜活痕迹。当心灵恢复与创伤相关的情感进行对话的可能性,而不是绕过这些情感去采取那些表面上更能维护自我意识的行动时,和解的意愿可以重新激活一种面向现实层面的思维。

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