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["边缘状态":精神动力学与存在主义取向,基于8例病例报告]

["Border-line states": psychodynamic and existential approach, apropos of 8 case reports].

作者信息

Scharbach H

出版信息

Ann Med Psychol (Paris). 1978 Jan;136(1):69-87.

PMID:677613
Abstract

This study attempts to determine the specific characteristics of this psychopathological concept, and demonstrate its operational interest. The traditional classification is clearly insufficient, and the clinical findings require metapsychological and existential references. The comprehensive approach to these morbid forms with polymorphic outlines, and variable symptoms, implies a deeper approach to the psychodynamic and structural planes. The experience of these subjects is characterised by sadness and lack of pleasure in life; they oscillate between a feeling of solitude, to which may be attached an anguish of separation and a flight from others when their relationship does not correspond to their special requirements and their modes of exchange with, in addition, an intrusion anxiety. Two references, one to Feeling alone by M. Klein and the other The ability to remain alone by D.W. Winnicott shed light on the psychogenetic basis and on the prevalence of phenomena of idealisation. The coexistence of sectors of mental function and defence mechanisms of different registers intervening together or alternately explain the "stability in instability". The existential continuum bears the traces of sudden ruptures. This paper includes the presentation of 8 cases.

摘要

本研究试图确定这一精神病理学概念的具体特征,并证明其实际应用价值。传统分类显然不够充分,临床发现需要元心理学和存在主义方面的参考。对这些具有多形轮廓和可变症状的病态形式采取综合方法,意味着要更深入地研究心理动力学和结构层面。这些受试者的体验以悲伤和生活缺乏乐趣为特征;他们在孤独感之间摇摆,孤独感可能伴随着分离的痛苦,当他们的关系不符合其特殊要求以及与他人的交流方式时,还会有逃避他人的情况,此外还有侵入性焦虑。两篇参考文献,一篇是梅兰妮·克莱因的《独自感受》,另一篇是D.W.温尼科特的《独处的能力》,揭示了心理发生基础以及理想化现象的普遍性。不同层面的心理功能和防御机制共同或交替发挥作用,解释了“不稳定中的稳定性”。存在主义连续体留下了突然断裂的痕迹。本文介绍了8个病例。

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Ann Med Psychol (Paris). 1978 Jan;136(1):69-87.
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