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人为造成的创伤:“亲身见证”对幸存者的治疗至关重要。

Traumatization Through Human Agency: "Embodied Witnessing" is Essential in the Treatment of Survivors.

作者信息

Mucci Clara

机构信息

, Via Vespucci, 58a, 65126, Pescara, Italy.

出版信息

Am J Psychoanal. 2019 Dec;79(4):540-554. doi: 10.1057/s11231-019-09225-y.

DOI:10.1057/s11231-019-09225-y
PMID:31723219
Abstract

The importance of human relations in understanding and treating trauma is evident not only from the severity of traumatization inflicted by human agency and the dissociation that ensues from traumatic interpersonal relations, but also from the analyst's affective participation which is essential to the reparation of the serious psychopathologies that originate in traumatization. Developing Ferenczi's theorizations, on the identification with the aggressor, I propose that after the abuse the traumatized subject identifies partly with the persecutor and partly with the victim, which sometimes is represented by the body itself, becoming the object of the destructiveness. Such unconscious identifications are accompanied by the dynamics of experiencing complex feelings of guilt and shame (the victim side) and the aggressiveness and anger, (the persecutor/persecuting side). It was Ferenczi who first described the potential for a therapist, acting benevolently and supportively as sole witness, to create the preconditions for the patient to re-contact long-dissociated parts, thanks to the implicit non-verbal and corporal exchange, a concept which is here explained as embodied testimony/witnessing and enactment, and unconscious communication of the right hemispheres of therapist and patient.

摘要

人际关系在理解和治疗创伤方面的重要性不仅体现在人类行为造成的创伤严重程度以及创伤性人际关系所引发的解离上,还体现在分析师的情感参与上,这种情感参与对于修复源于创伤的严重精神病理学至关重要。在发展费伦齐关于与攻击者认同的理论时,我提出,受虐后,受创伤的主体部分认同迫害者,部分认同受害者,受害者有时由身体本身代表,成为破坏行为的对象。这种无意识认同伴随着体验复杂的内疚和羞耻感(受害者一方)以及攻击性和愤怒(迫害者/迫害一方)的动态过程。正是费伦齐首先描述了治疗师作为唯一见证者以仁慈和支持的方式行事,通过隐含的非言语和身体交流为患者重新接触长期解离的部分创造前提条件的可能性,这一概念在此被解释为具身见证/见证和 enactment,以及治疗师和患者右半球的无意识交流。

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