Mitchell S A
Psychiatry. 1978 Aug;41(3):254-63. doi: 10.1080/00332747.1978.11023981.
A persistent polarity has existed among theories concerning the origins and the nature of preferred homosexuality. One major group of theories, including most psychoanalytic approaches, stresses early developmental contributions and tends to view homosexuality as psychopathological--a deviation from healthy and fully mature living. The other major group of theories assumes homosexuality not to be psychopathological and views homosexuality as either a spontaneous expression of a natural, polymorphous sexuality, or as one possible outcome, among many equally healthy and rewarding outcomes, of social conditioning. Common to both groups of theories is the shared assumption that psychodynamic contributions and etiology imply pathology--a psychodynamic dimension is either accepted and pathology is assumed, or pathology is denied and any possible psychodynamic contribution is debunked. The notion that psychodynamic causes and contributions imply pathology is, as I will show, a historical artifiact deriving from Freud's original libidinal fixation theory of neurosis. Such an assumption is not only no longer necessary, but also is inconsistent with a more contemporary psychondynamic understanding of human experience and several important psychoanalytic principles. I will explore the manner in which this assumption has been responsible for polarization and miscommunication among various contributions in psychoanalytic, sociological and political literature on the nature of homosexuality--including the presumption of pathology that is built into the very language and choice of metaphors employed in psychoanalytic discussions of homosexuality. I will also suggest an alternative conceptual approach.
关于性取向偏好的起源和本质的理论一直存在着一种持久的两极分化。一大类理论,包括大多数精神分析方法,强调早期发展的影响,并倾向于将同性恋视为精神病理学现象——一种偏离健康和完全成熟生活的表现。另一大类理论则认为同性恋并非精神病理学现象,并将其视为自然的、多形态性取向的自发表达,或者是社会环境影响下诸多同样健康且有益的结果之一。这两类理论的共同之处在于,它们都认为心理动力因素和病因意味着病理学现象——要么接受心理动力层面的因素并假定存在病理学现象,要么否认病理学现象并揭穿任何可能的心理动力因素。正如我将展示的那样,认为心理动力因素和病因意味着病理学现象这一观念是一种历史产物,源自弗洛伊德最初的关于神经症的力比多固着理论。这样的假设不仅不再必要,而且与当代对人类体验的心理动力理解以及一些重要的精神分析原则相矛盾。我将探讨这种假设是如何导致精神分析、社会学和政治文献中关于同性恋本质的各种观点出现两极分化和沟通不畅的——包括精神分析讨论同性恋时所使用的语言和隐喻中内置的病理学假设。我还将提出一种替代的概念方法。