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幻觉症与幻想:爱丽丝的痛苦及其在诊疗室中的转变

Hallucinosis and reverie: Alice's pain and its transformations in the consulting room.

作者信息

Oldoini Maria Grazia

机构信息

Member of IPA and Italian Psychoanalytic Society.

出版信息

Int J Psychoanal. 2018 Apr;99(2):334-354. doi: 10.1080/00207578.2018.1429842. Epub 2018 Mar 28.

Abstract

This article seeks to explore, from a Bionian and post-Bionian perspective, the field of hallucinosis and its transformations, and to show how a certain kind of analytic work can take the patient from hallucinosic functioning to symbolic competence. The author refers to clinical situations where symbolic competence is markedly defective, and uses the term "Munch-patients" to refer to such persons, drawing on the metaphor suggested by the biography of the painter for its affinities with the suffering experienced by such patients.The case of Alice is used to develop these ideas. The patient, faced with her inability to cope with a certain psychic pain, transforms this pain in hallucinosis. Having to face the emotional turbulences present in the field, the analyst becomes involved in an enactment, culminating in a state of somato-psychic hallucinosis during a session. Alice's pain enters the relationship through the illness of the field, brought on stage, as it were, by the hallucinosis of the analyst, who manages to set in motion a metabolic cycle by means of her oneiric functions.The paper suggests regarding hallucinosis as a bridge between psychotic and oneiric functioning and emphasizes the importance of oneiric functions in enabling the transition from concreteness and raw facts to real emotions.

摘要

本文旨在从拜昂派及后拜昂派的视角,探讨幻觉症领域及其转变,并展示某种分析工作如何能使患者从幻觉功能转变为象征能力。作者提及象征能力明显有缺陷的临床情形,并借鉴画家传记所暗示的隐喻,用“蒙克患者”一词指代这类人,因为该隐喻与这类患者所经历的痛苦有相似之处。文中以艾丽斯的案例来阐述这些观点。面对无法应对某种精神痛苦的情况,患者将这种痛苦转化为幻觉症。由于必须面对该领域中存在的情绪动荡,分析师卷入了一场行为表现,在一次治疗过程中最终导致身心幻觉症状态。艾丽斯的痛苦通过该领域的病症进入这段关系,仿佛是由分析师的幻觉症搬上舞台的,分析师借助其梦的功能成功启动了一个代谢循环。本文建议将幻觉症视为精神病功能与梦的功能之间的一座桥梁,并强调梦的功能在促成从具体事物和原始事实向真实情感转变方面的重要性。

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