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囤积症和动物囤积症:心理动力学和过渡性方面。

Hoarding and Animal Hoarding: Psychodynamic and Transitional Aspects.

机构信息

Professor of Psychology at California State University Channel Islands. He also currently serves on the Graduate Medical Education faculty for the Community Memorial Hospital System in Ventura, California.

出版信息

Psychodyn Psychiatry. 2021 Spring;49(1):24-47. doi: 10.1521/pdps.2021.49.1.24.

Abstract

Hoarding is a disorder that has only recently begun to be understood by researchers and clinicians. This disorder has been examined from a biopsychosocial perspective and has features that overlap with obsessive-compulsive disorder as well as some unique characteristics. Hoarding disorder is widespread and maybe related to the evolution of collecting and storing resources among humans and other animals. While there have been a number of non-analytic theories related to hoarding and its treatment, psychoanalytic thinkers have rarely described the disorder or explored its underlying psychodynamics. Beginning with Freud, it is possible to understand hoarding in relationship to the vicissitudes of the anal stage of development. However, loss of a loved object, especially loss of the mother, can play an important role in the development of hoarding behavior in adults. The hoarding of inanimate items, examined from a developmental object-relations perspective, appears to involve transitional phenomena. Animal hoarding also involves transitional phenomena, but animals, which can serve as animated transitional objects, also have a repetition compulsion function. These psychodynamic characteristics are relevant for establishing a working transference with the analyst or therapist, in order to promote positive therapeutic outcomes.

摘要

囤积症是一种近年来才被研究人员和临床医生所理解的障碍。这种障碍从生物心理社会的角度进行了检查,具有与强迫症重叠的特征,以及一些独特的特征。囤积症广泛存在,可能与人类和其他动物收集和储存资源的进化有关。虽然有许多与囤积及其治疗相关的非分析理论,但精神分析思想家很少描述这种障碍或探索其潜在的心理动力学。从弗洛伊德开始,就有可能理解囤积与肛门期发展的变迁有关。然而,失去所爱之人,尤其是失去母亲,可能在成年人囤积行为的发展中起着重要作用。从发展的客体关系的角度来看,对无生命物品的囤积似乎涉及过渡现象。动物囤积也涉及过渡现象,但可以作为有生命的过渡客体的动物,也具有重复强迫的功能。这些心理动力学特征对于与分析师或治疗师建立工作转移关系以促进积极的治疗结果是相关的。

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