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精神分析-神经科学界面:关于统一精神分析模型的假设性建议。

The psychoanalysis-neurosciences interface: A proposal for a hypothetical unification of psychoanalytic models.

机构信息

Ordinary Member with Training Functions of the Italian Society of Psychoanalytical Psychotherapy (SIPP).

出版信息

Int J Psychoanal. 2021 Feb;102(1):68-90. doi: 10.1080/00207578.2020.1819817. Epub 2020 Dec 4.

DOI:10.1080/00207578.2020.1819817
PMID:33952005
Abstract

Grotstein's concept of projective transidentification led the author to reconsider the reasons that have led to the plurality of psychoanalytic models. The solution proposed is the existence of a fundamental frontal-occipital oscillatory dynamic, responsible for the projective-introjective dynamic that is at the basis of psychoanalytic theory and, at the same time, of the development and maintenance of mother-infant attunement. Such an oscillatory dynamic, according to this perspective, operates as a "bridge" between two seminal theoretical models of development - the psychoanalytic and the infant research model. A set of neurological hypotheses regarding how maternal interaction may act to modify the infant's projective-introjective dynamic and general brain development is proposed. The different possible modifications of this dynamic offer an explanation of the variety and complexity of psychoanalytic models and the opportunity for a unitary approach, both clinical and theoretical. Given that it is considered to be the basis for cerebral activity, the oscillatory dynamic appears intrinsically connected with the functions of Self-cohesiveness and environmental monitoring, suggesting an important interface between psychoanalysis and the neurosciences.

摘要

格罗特斯坦的投射认同转换概念促使作者重新思考导致精神分析模型多样性的原因。提出的解决方案是存在基本的额枕部振荡动力学,负责投射-内射动力学,这是精神分析理论的基础,同时也是母婴协调的发展和维持的基础。从这个角度来看,这种振荡动力学起到了两个重要理论模型(精神分析模型和婴儿研究模型)之间的“桥梁”作用。提出了一组关于母婴互动如何作用于改变婴儿的投射-内射动力学和大脑整体发育的神经学假设。这种动力学的不同可能的变化解释了精神分析模型的多样性和复杂性,并为临床和理论上的统一方法提供了机会。由于它被认为是大脑活动的基础,振荡动力学与自我凝聚力和环境监测的功能内在相关,这表明精神分析学和神经科学之间存在一个重要的接口。

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