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对立观点与强迫观念及强迫行为

Antitheses and the obsessive-compulsive.

作者信息

Mollinger R N

出版信息

Psychoanal Rev. 1980 Winter;67(4):465-77.

PMID:6785772
Abstract

The characteristic "style" of the obsessive-compulsive is examined and is seen to be marked by an antithetical quality. The major defense mechanisms used--undoing, isolation, and reaction formation--al involve opposites: contradictory acts following each other, the keeping apart of ambivalent feeling states, and the turning of wishes into their opposites. The cognitive modes of the obsessive-compulsive are marked by dichotomies: sharply focused attention which misses essential points and a non-inclusive all-inclusiveness. The obsessive's regression to the anal phase produces ambivalent emotions, contradictory attitudes to feces and defecation and related future sublimations, and doubt over sexual identity. A harsh superego creates an alternation between obedience to it and defiance, and feelings of both perfection and imperfection. The ambivalent and contradictory early family environment is seen as an influencing factor in the creation of the antithetical style of the future obsessive-compulsive: the natural ambivalence of the anal stage is confronted by ambivalent mothering, and antitheses then predominate.

摘要

强迫性人格的典型“风格”得到了审视,并被认为具有一种对立的特质。所使用的主要防御机制——抵消、隔离和反向形成——都涉及到对立:相互相继的矛盾行为、对矛盾情感状态的分离以及愿望向其对立面的转变。强迫性人格的认知模式以二分法为特征:注意力高度集中却忽略要点,以及一种非包容性的全面性。强迫性人格者退行至肛门期会产生矛盾情感、对粪便和排便以及相关未来升华的矛盾态度,以及对性别认同的怀疑。一个严苛的超我会导致在对其服从和违抗之间交替,以及完美和不完美的感觉。矛盾和对立的早期家庭环境被视为塑造未来强迫性人格对立风格的一个影响因素:肛门期自然的矛盾情感遭遇矛盾的养育方式,于是对立占据主导。

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