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语言与暴力行为中的稳态与失稳态。神经科学与精神分析学之间的对话。

Homeostasis and dyshomeostasis in language and violent acting out. A dialogue between neuroscience and psychoanalysis.

作者信息

Tiscini Giorgia, Alparone Dario, Ansermet François, Collin Thibault

机构信息

Univ Rennes, RPpsy [(Recherches en Psychopathologie et Psychanalyse)], F-35000, Rennes, France.

Université de Bretagne Occidentale, Brest, France.

出版信息

Am J Psychoanal. 2025 Mar;85(1):154-182. doi: 10.1057/s11231-025-09498-6.

Abstract

In this article we consider the question of homeostasis and memory from the perspectives of neuroscience and psychoanalysis. Our aim is to describe a link between homeostasis/dyshomeostasis, memory/language, and violent acting out. Our study is based on clinical observations concerning two groups of persons: those who were incarcerated for perpetrating non-premeditated murder and those who were victimized by violent trauma in their lives. The clinical findings, combined with the analysis of the relevant literature and research, demonstrate that the dyshomeostatic state, through a positive homeostasis, can drive the person to restore the balance by their usual coping mechanisms and thereby generate negative homeostasis. These acts-all violent, non-premeditated, and forms of desubjectivized acting out-stem from being outside language on account of two pathological extremes of memory, its absence or its excess. Aided by neuroscience and the results of our clinical findings, we support the practice of recalling and strengthening memory traces of trauma in psychotherapy.

摘要

在本文中,我们从神经科学和精神分析的角度来探讨内稳态与记忆的问题。我们的目的是描述内稳态/内稳态失衡、记忆/语言与暴力外显行为之间的联系。我们的研究基于对两组人群的临床观察:一组是因实施非预谋杀人而被监禁的人,另一组是在生活中遭受暴力创伤的受害者。临床发现,结合对相关文献和研究的分析,表明内稳态失衡状态通过正向内稳态,可驱使个体通过其惯常的应对机制来恢复平衡,从而产生负向内稳态。这些行为——所有暴力、非预谋且形式上是去主体化的外显行为——源于因记忆的两种病理极端情况,即记忆缺失或记忆过度,而处于语言之外。借助神经科学和我们临床发现的结果,我们支持在心理治疗中回忆并强化创伤记忆痕迹的做法。

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