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在夏科百年诞辰之际:癔症、暗示性与催眠

On the centenary of Charcot: hysteria, suggestibility and hypnosis.

作者信息

Chertok L

出版信息

Br J Med Psychol. 1984 Jun;57(2):111-20. doi: 10.1111/j.2044-8341.1984.tb01589.x.

Abstract

In studying hysteria by means of hypnosis, Charcot placed emphasis on the psychological aetiology of the neuroses. Among his pupils, Freud alone grasped this epistemological turning-point, from which he made his great discoveries. But hysteria and hypnosis still remain today largely unknown. We have not yet elucidated the 'mysterious leap' between the psychological and the somatic for the former, and between the relational and the instrumental for the latter. While psychoanalysts have constantly concerned themselves with hysteria, they have shown a lack of interest in hypnosis after Freud abandoned its practice. According to Freud, thanks to transference, affect would be controlled by cognition, a viewpoint eminently suited to satisfy his rationalistic outlook. Affect, however, remains an unknown realm. The affective relationship has, at all events, acquired an ever-increasing importance in psychoanalysis during the last few years, with the emphasis on the early mother-child relationship. The 'affective locus' remains the basic, as well as the most obscure, element in the hypno-suggestive relationship. The behaviourist approach, which quantifies the 'vertical' dimension in depth, is a limited one. The study of the 'horizontal' dimension of subjective experience represents a new line of research, which may make it possible to distinguish different forms of hypnosis. The understanding of hypno-suggestion may throw light on psychoanalysis, psychotherapy, and the human sciences in general.

摘要

在通过催眠术研究癔症时,夏尔科强调了神经症的心理病因学。在他的学生中,只有弗洛伊德抓住了这一认识论的转折点,并由此做出了伟大的发现。但时至今日,癔症和催眠术在很大程度上仍然不为人知。对于前者,我们尚未阐明心理与躯体之间的“神秘飞跃”;对于后者,也未阐明关系性与工具性之间的“神秘飞跃”。虽然精神分析学家一直关注癔症,但在弗洛伊德放弃使用催眠术后,他们对催眠术表现出了缺乏兴趣。按照弗洛伊德的观点,借助移情作用,情感将由认知控制,这一观点非常适合满足他的理性主义观念。然而,情感仍然是一个未知的领域。无论如何,在过去几年里,情感关系在精神分析中变得越来越重要,这体现在对早期母婴关系的强调上。“情感场所”仍然是催眠暗示关系中的基本要素,也是最晦涩难懂的要素。行为主义方法对深度的“垂直”维度进行量化,是一种有限的方法。对主观体验“水平”维度的研究代表了一条新的研究路线,这可能使区分不同形式的催眠成为可能。对催眠暗示的理解可能会为精神分析、心理治疗以及一般意义上的人文科学提供启示。

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