关于精神障碍的新观点。

New ideas on mental disorders.

作者信息

Wolman B B

出版信息

Am J Psychother. 1977 Oct;31(4):546-60. doi: 10.1176/appi.psychotherapy.1977.31.4.546.

DOI:10.1176/appi.psychotherapy.1977.31.4.546

Abstract

Three types of mental disorder, based on libido-destrudo balances are introduced: (1) Hyperinstrumental-narcissistic type, or psychopathic type with destrudo object hypercathexis; (2) Dysmutual-cyclic type with libido-destrudo shifting cathexis; (3) Hypervectorial-schizotype with object hypercathexis of libido. Five levels of regression: neurosis, character neurosis, latent psychosis, psychosis, and dementia are linked to declining ego strength.

摘要

基于力比多-破坏欲平衡，介绍了三种精神障碍类型：(1) 过度工具性-自恋型，或具有破坏欲客体过度投注的精神病态型；(2) 力比多-破坏欲转移投注的相互失调-循环型；(3) 力比多客体过度投注的超向量-精神分裂型。五个退行水平：神经症、性格神经症、潜在精神病、精神病和痴呆，与自我力量的下降相关。