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幼儿中的“类神经症”组织

["Para-neurotic" organization in the young child].

作者信息

Palacio Espasa F, Knauer D

出版信息

Psychiatr Enfant. 1986;29(2):277-317.

PMID:3786578
Abstract

We define the term "para-neurotic organization" as a particular form of the mental organization of the young child, intermediate between a neurotic structure and a personality disorder. The para-neurosis has little chance of spontaneous improvement, but there is good indication for psychotherapeutic treatment for these children and its results are satisfactory. Although the fantasmatic life of this type of children is often related to oedipal problems and their capacity to symbolise is rich, there are nevertheless frequent regressive mouvements leading to blocking (inhibitions of symbolisation) or to manic behaviors (flight of ideas). The persistance of this functioning could prevent the establishment of a true neurotic organization. We shall present this clinical entity on the basis of clinical examples (dynamic profiles). In order to illustrate the principal caracteristics, a standard-scale has been constructed. Psychodynamic considerations support our various findings.

摘要

我们将“类神经症组织”这一术语定义为幼儿心理组织的一种特殊形式,介于神经症结构和人格障碍之间。类神经症几乎没有自发改善的可能,但对这些儿童进行心理治疗有很好的指征,且治疗结果令人满意。尽管这类儿童的幻想生活常常与俄狄浦斯问题相关,且他们的象征能力丰富,但仍频繁出现退行性运动,导致受阻(象征化抑制)或出现躁狂行为(思维奔逸)。这种功能的持续存在可能会阻碍真正神经症组织的形成。我们将基于临床实例(动态概况)来介绍这一临床实体。为了阐明主要特征,构建了一个标准量表。心理动力学考量支持我们的各项发现。

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