Phd, ABPP, 150 View Drive, Pittsfield, MA, 01201, USA.
Am J Psychoanal. 2024 Mar;84(1):57-78. doi: 10.1057/s11231-024-09441-1.
Psychoanalysis had its origins in an era when feelings that could not be recognized by the mind were being manifested in the body. Psychoanalysis works towards resolving this type of split by recognizing the existence of a dual language structure that includes both body and mind as constituents of the fabric of embodied meanings. The field of psychosomatics helps to provide keys to this language, marking the essential, patterned truths that are recognized at very basic levels and increasingly organize our perceptions as we make sense of the world. In disrupting the integration of embodied meanings, trauma impedes identity development. For some patients, learning to make meaning from somatic symptoms is an important adjunct to coming to know their own embodied experience. Two cases will be offered in which somatic symptoms provided important information that was channeled through the analytic experience as a way of making sense of what otherwise remained unknown.
无法被意识所识别的情感正在身体中显现。精神分析旨在通过认识到双重语言结构的存在来解决这种分裂,该结构包括身心作为体现意义结构的组成部分。身心医学领域有助于提供这种语言的关键,标记出在非常基础的层面上被识别的基本、模式化的真理,并随着我们理解世界的方式的增加,越来越多地组织我们的感知。在干扰体现意义的整合时,创伤会阻碍身份的发展。对于一些患者来说,从躯体症状中学习意义是了解自身体现经验的重要辅助手段。将提供两个案例,其中躯体症状提供了重要信息,这些信息通过分析经验传递,成为理解否则仍未知的事物的一种方式。