De Masi Franco
, Via Ramazzini 7, 20129, Milan, Italy.
Am J Psychoanal. 2017 Dec;77(4):347-358. doi: 10.1057/s11231-017-9111-8.
In this paper I use the term alienation to describe the mind's detachment from psychic reality and its withdrawal into an alien world that leads to progressive dehumanization. In spite of this phenomenon having a psychodynamic nosography and descriptive models that effectively reveal it in detail, mental alienation is still mysterious and unsettling, especially when it manifests all of a sudden in clinical work. Alienating withdrawal into sensory fantasizing, which causes increasing loss of contact with human reality, is often preceded by a long period of time spent in a dissociated world that has gradually replaced psychic reality. However, prior to the human world being completely replaced by the alien world, both worlds coexisted for a considerable length of time in the patient's mind. My hypothesis is that the dissociation from psychic reality that underlies the future state of psychotic alienation occurs in psychic withdrawal that begins in infancy. This mental state is particularly obvious in small children who constantly live in a fantasy world.
在本文中，我使用“异化”一词来描述心灵与心理现实的脱离，以及心灵退缩到一个导致逐步非人性化的陌生世界。尽管这种现象有心理动力学分类法和描述模型能有效地详细揭示它，但精神异化仍然神秘且令人不安，尤其是当它在临床工作中突然出现时。异化性退缩到感官幻想中，这会导致与人类现实的联系日益丧失，在此之前往往有很长一段时间处于一个逐渐取代心理现实的解离世界中。然而，在人类世界被陌生世界完全取代之前，这两个世界在患者的脑海中相当长一段时间内是共存的。我的假设是，构成未来精神病性异化状态基础的与心理现实的解离，发生在始于婴儿期的心理退缩中。这种精神状态在经常生活在幻想世界中的幼儿身上尤为明显。
