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重新审视催眠与精神分析:迈向创建理解的语境

Reconsidering Hypnosis and Psychoanalysis: Toward Creating a Context for Understanding.

作者信息

Kluft Richard P

机构信息

a Temple University School of Medicine , Philadelphia , PA , USA.

出版信息

Am J Clin Hypn. 2018 Jan;60(3):201-215. doi: 10.1080/00029157.2018.1400810.

Abstract

Sigmund Freud developed what became psychoanalysis in the context of his experiences with hypnosis and the treatment of the grand hysterics of his era, conditions largely classified among the dissociative disorders in contemporary systems of diagnosis. He rapidly constructed understandings of the human mind and human distress that replaced the concept of dissociation and a model of pathology that was passive (associated with reduced psychic cohesion), with the paradigm of an active defensive process he termed repression, and an understanding that psychological discomfort was the outcome of intrapsychic conflict. In short order Freud repudiated hypnosis, initiating the schisms that subsequently separated the study and practice of hypnosis from the study and practice of psychoanalysis. It is timely to reexamine these schisms anew, challenge the basis of the arguments thought to justify them, and explore whether these schisms have deprived psychoanalysis and hypnosis alike of the potentially helpful ideas and approaches each might offer the other. This contribution invites students of hypnosis and psychoanalysis alike to put aside both traditional and stereotypic notions of each other's field of endeavor, revisit the origins, rationales, and outcomes of these schisms that have divided them, and explore their commonalities and their differences from fresh perspectives.

摘要

西格蒙德·弗洛伊德在其催眠经历以及对所处时代的癔症大患者的治疗背景下,发展出了后来的精神分析学。在当代诊断体系中,这些病症很大程度上被归类于解离性障碍。他迅速构建了对人类心理和人类痛苦的理解,用他称之为压抑的主动防御过程范式,取代了解离概念以及一种被动的病理学模型(与心理凝聚力降低相关),并形成了一种认识,即心理不适是心理内部冲突的结果。很快,弗洛伊德摒弃了催眠术,引发了后来将催眠术的研究与实践同精神分析学的研究与实践分离开来的分裂。现在是时候重新审视这些分裂,挑战那些被认为是为其辩护的论点依据,并探究这些分裂是否使精神分析学和催眠术都失去了彼此可能为对方提供的潜在有益思想和方法。这篇文章邀请催眠术和精神分析学的研究者都抛开对彼此领域努力的传统和刻板观念,重新审视这些将它们分开的分裂的起源、基本原理和结果,并从新的视角探索它们的共性与差异。

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