Department of Psychiatry, Wayne State University Medical School, Detroit, MI, USA.
Int J Psychoanal. 2019 Dec;100(6):1216-1236. doi: 10.1080/00207578.2019.1642757.
A review of Freud's ideas about the sexual drive and sexuality reveals reoccurring questions: What is the relation between the sexual drive and its somatic underpinnings? Can we integrate formulations couched in terms of meaning with those couched in terms of energy? What is the relation of the sexual drive to other drives, psychic structures and affects? The author focuses on two further questions: what can we understand about the experience of sexual passion, and why is there so much anxiety, regulation, and opposition in regard to sexuality, both individually and generally, even within psychoanalysis itself? The author argues that the discomfort with and repudiation of sexuality are related to the nature of the sexual drive itself and to its origins in early childhood and are tied to many of the issues that have marked its history in psychoanalysis. The author discusses a clinical case of a man who tried to isolate and eradicate his sexual drive. His felt absence of sexual drive is an individual instance of the larger discomfort and unease with the truths about human sexuality around which Freud built his theories of development and mind.
对弗洛伊德关于性驱力和性行为的思想进行回顾，会揭示出反复出现的问题：性驱力与躯体基础之间有什么关系？我们能否将基于意义的表述与基于能量的表述结合起来？性驱力与其他驱力、心理结构和情感之间有什么关系？作者关注另外两个问题：我们能理解性激情的体验是什么，为什么在个人和总体上，即使在精神分析内部，也会对性产生如此多的焦虑、调节和反对？作者认为，对性的不适和拒绝与性驱力本身的性质有关，与它在童年早期的起源有关，并与精神分析史上许多标志其历史的问题有关。作者讨论了一个试图隔离和消除其性驱力的男性的临床案例。他感到性驱力的缺失是弗洛伊德建立其发展和心理理论所依据的关于人类性真相的更大不适和不安的个体实例。
