Harrison Alexandra, Tronick Ed
Harvard Medical School, Harvard University, Cambridge, MA, United States.
Cambridge Health Alliance, Cambridge, MA, United States.
Front Psychol. 2022 Jan 10;12:715873. doi: 10.3389/fpsyg.2021.715873. eCollection 2021.
This manuscript explores intersubjectivity through a conceptual construct for meaning-making that emphasizes three major interrelated elements-meaning making in interaction, making meaning with the body as well as the mind, and meaning making within an open dynamic system. These three elements are present in the literature on intersubjectivity with a wide range of terms used to describe various theoretical formulations. One objective of this manuscript is to illustrate how such a construct can be useful to understand the meaning-making observed in psychoanalysis, such as in the treatment of a young child on the autistic spectrum. The challenges in establishing an intersubjective state with a child on the autistic spectrum serve to highlight important features of intersubjectivity. As an important background to this clinical illustration, we illustrate the construct with the scientific paradigm of the well-known face-to-face still-face.
本手稿通过一种意义建构的概念框架来探讨主体间性,该框架强调三个主要的相互关联要素:互动中的意义建构、身心协同的意义建构以及开放动态系统中的意义建构。这三个要素在主体间性的文献中均有体现,文献中使用了广泛的术语来描述各种理论表述。本手稿的一个目标是说明这样一种框架如何有助于理解精神分析中观察到的意义建构,比如对一名患有自闭症谱系障碍的幼儿的治疗。与患有自闭症谱系障碍的儿童建立主体间状态所面临的挑战,有助于凸显主体间性的重要特征。作为这一临床例证的重要背景,我们用著名的面对面静止脸科学范式来说明该框架。