Meyer J K
Department of Psychiatry and Mental Health Sciences, Medical College of Wisconsin, Milwaukee.
J Am Psychoanal Assoc. 1988;36(2):319-46. doi: 10.1177/000306518803600203.
Psychoanalysis recently has shown interest in the data of neurobiology. This interest has been fostered by the realization that a model of Cartesian mind-body dualism is inadequate to current observation and knowledge. Despite the theoretical appeal of integrating knowledge from the two fields, there have been few attempts at correlation in specific clinical situations. This paper presents a case of hysteria in which the physical manifestations of hyperprolactinemia, galactorrhea, amenorrhea, and infertility are considered in relation to both the brain regulation of prolactin and to unconscious fantasy, motivation, and conflict. Some of the intriguing possibilities and limitations of research at the frontier of psychoanalysis and neurophysiology are discussed.
精神分析学最近对神经生物学的数据表现出了兴趣。意识到笛卡尔身心二元论模型不足以解释当前的观察结果和知识，这种兴趣得到了进一步推动。尽管将两个领域的知识整合起来在理论上颇具吸引力，但在特定临床情况下进行相关性研究的尝试却很少。本文介绍了一例癔症病例，其中高催乳素血症、溢乳、闭经和不孕的身体表现与催乳素的大脑调节以及无意识幻想、动机和冲突相关联进行了探讨。还讨论了精神分析学与神经生理学前沿研究中一些有趣的可能性和局限性。
