Mendelsohn E M
J Nerv Ment Dis. 1981 Sep;169(9):580-90. doi: 10.1097/00005053-198109000-00005.
This study was designed as a further investigation of the ameliorative effects of stimulating a symbiotic fantasy in schizophrenics. Fifty-four adult male schizophrenic subjects were each seen individually for three experimental sessions. In each session there was exposure to a neutral subliminal stimulus followed by a baseline assessment of thought disorder and behavioral pathology. This was followed by exposure to one of three critical stimuli: a) a neutral control stimulus; b) the stimulus "mommy and I are one," designed to activate a fantasy of symbiotic gratification, and found in past studies to lead to pathology reduction; and c) "mommy and I are two," designed as a test of the specificity of oneness fantasy in producing symptomatic improvement. Each subject was exposed to the three critical simuli by counterbalanced order. Assessments of pathology were repeated after exposure to the experimental stimuli and comparisons were made with baseline measures. Results were: a) the subliminal symbiotic stimulus produced improvement on one of the measures of pathology, replicating findings from previous studies; and b) unexpectedly, the "mommy and I are two" stimulus led to pathology reduction on both dependent measures and proved significantly more ameliorative than the oneness stimulus. Associations obtained from subjects on a post hoc basis, the relationship between responses of individual subjects to the two stimuli, and the way in which order of presentation of the critical stimuli affected results supported the view that the twoness message also gratified symbiotic wishes while simultaneously providing reassurance against dangers associated with boundary loss. Results were discussed with an eye toward sharpening and refining the formulation advanced in the past to account for the ameliorative effects of the "oneness" stimulus.
本研究旨在进一步探究激发精神分裂症患者共生幻想的改善效果。54名成年男性精神分裂症患者每人分别接受三次实验。每次实验中，先让患者接触中性阈下刺激，然后对思维障碍和行为病理学进行基线评估。接着让患者接触三种关键刺激之一：a）中性对照刺激；b）“我和妈妈是一体”的刺激，旨在激活共生满足的幻想，过去的研究发现该刺激可导致病理学症状减轻；c）“我和妈妈是两个个体”的刺激，旨在测试一体幻想在产生症状改善方面的特异性。每位患者以平衡顺序接触这三种关键刺激。在接触实验刺激后重复进行病理学评估，并与基线测量结果进行比较。结果如下：a）阈下共生刺激在一项病理学测量指标上产生了改善，重复了先前研究的结果；b）出乎意料的是，“我和妈妈是两个个体”的刺激在两项相关测量指标上均导致病理学症状减轻，且被证明比一体刺激的改善效果显著得多。事后从患者那里获得的联想、个体患者对这两种刺激的反应之间的关系，以及关键刺激呈现顺序对结果的影响方式，都支持了这样一种观点，即二元信息在满足共生愿望的同时，还能消除与边界丧失相关的危险。讨论结果时着眼于完善和细化过去提出的用以解释“一体”刺激改善效果的理论表述。
