Andreoli A
Schweiz Arch Neurol Neurochir Psychiatr. 1984;135(1):87-99.
For schizophrenic patients, memory and desire are not bodily experiences. Mnemonic traces can be mobilized only at the cost of acute psychotic disintegration of the Self. This paper emphasizes the importance of understanding the Ego structure, the narcissistic economy and psychotic defenses (denial, splitting) as a psychosomatic the organization. Indeed, during somatic illness we observe a reintegration of the body as the hinge between emotional and symbolic aspects of subjective experience. The author suggests that the psychosomatic viewpoint is particularly useful in understanding the clinical evolution of schizophrenia, in psychotherapeutic management of transference and in the elaboration of psychiatric care policies for such patients.
对于精神分裂症患者来说，记忆和欲望并非身体体验。记忆痕迹只有以自我的急性精神病性解体为代价才能被调动起来。本文强调将自我结构、自恋经济和精神病性防御（否认、分裂）理解为一种身心组织的重要性。事实上，在躯体疾病期间，我们观察到身体作为主观体验的情感和象征方面之间的枢纽重新整合。作者认为，身心观点在理解精神分裂症的临床演变、移情的心理治疗管理以及为这类患者制定精神科护理政策方面特别有用。
