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抑郁症的心理动力学方面(作者译)

[Psychodynamic aspects of depression (author's transl)].

作者信息

Lebovici S

出版信息

Encephale. 1979;5(5 Suppl):555-9.

PMID:548275
Abstract
  1. Freud's study of Mourning and Melancholia provides the psychopathological model for depression. Basing himself upon the views of Abraham regarding the oral sadism which the depressed person wants to inflict upon the lost object. Freud added that the gilt associated with that oral sadistic aggression oppresses the depressed with the weight of his superego. 2. The childhood model for this depression caused by object loss is provided by Melanie Klein, who sees the bad object as a projection of aggressive fantasies, and by Donald Winnicott who regards the excited child as a "worried", although replete. 3. Hence the social importance of the clinical facts of the psychiatry of the very young child: anaclitic depression of separation (René Spitz) or depression by severance of the bonds (John Bowlby). 4. Finally, we must reassess the notion of depression with inferiority (Francis Pasche). It is organised as a disorder of idealisation and must be considered in connection with the feelings of nostalgia of the adolescents in our society.
摘要
  1. 弗洛伊德对《哀悼与忧郁症》的研究为抑郁症提供了心理病理学模型。基于亚伯拉罕关于抑郁症患者想要施加于失去对象的口欲期施虐的观点,弗洛伊德补充说,与那种口欲期施虐攻击相关的内疚感以超我的重压压迫着抑郁症患者。2. 梅兰妮·克莱因认为坏对象是攻击幻想的投射,唐纳德·温尼科特则认为兴奋的孩子虽然吃饱了但“焦虑不安”,他们分别提供了因对象丧失导致的这种抑郁症的童年模型。3. 因此,幼儿精神病学临床事实具有社会重要性:分离性依恋性抑郁症(勒内·斯皮茨)或纽带断裂导致的抑郁症(约翰·鲍尔比)。4. 最后,我们必须重新评估自卑性抑郁症的概念(弗朗西斯·帕谢)。它被组织为一种理想化障碍,并且必须结合我们社会中青少年的怀旧情感来考虑。

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