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Psychoanal Q. 2023;92(2):159-183. doi: 10.1080/00332828.2023.2237501. Epub 2023 Aug 9.
The author investigates bodily aspects of the defense organization in the treatment of a soldier suffering from a war traumatization. The patient reports two situations-a bomb attack and the subsequent confrontation with wounded comrades-that had a traumatizing impact. In the treatment process, a phase of stagnation is described before the shared attention is focused on the bodily perception of the patient. His petrified body feeling ("my body feels like concrete") was systematically examined in the therapeutic process then slowly transformed through shared perception, leading to a process of vitalizing reorganization. This method is called somatic narration. It reverses the defense processes of the encapsulated body engram. This capsule results from the threatening impact of a traumatic event, disorganizing the patient's body-self. This disorganization then is encapsulated through a process of petrification and avoidance of awareness. The therapeutic process is described in detail. The structure of the bodily unconscious is revealed. The process of reorganization of perception and memory is outlined.
作者研究了防御组织在治疗患有战争创伤症士兵中的身体方面。该患者报告了两次情况——一次炸弹袭击和随后与受伤同志的对抗——这对他造成了创伤性影响。在治疗过程中,在共同关注患者的身体感知之前,描述了一个停滞阶段。然后,通过共同感知系统地检查了他僵化的身体感觉(“我的身体感觉像混凝土”),这导致了一个充满活力的重组过程。这种方法被称为躯体叙事。它逆转了被包裹的身体记忆痕迹的防御过程。这种胶囊是由创伤性事件的威胁性影响产生的,破坏了患者的身体自我。然后,通过僵化和避免意识的过程将这种混乱包裹起来。治疗过程被详细描述。揭示了身体无意识的结构。概述了感知和记忆的重组过程。