Warnes H
Psychother Psychosom. 1982;38(1):154-64. doi: 10.1159/000287623.
The author attempts to demonstrate a relationship between dreams and symptom formation in the psychosomatic patient. The egos of many patients predisposed to psychosomatic illness have shown a deformation of a defensive nature because of early impingement of the protective shield (a maternal function) which caused a precocious development of a false-self in Winnicott's sense. In a series of dreams the failure of one or more dream functions became evident. Such failures are often found in patients with psychosomatic symptoms and depend on the severity of illness and preillness factors such as personality, body image and type of object relationships. The dream functions identified were the traumatolytic, the wish-fulfilling, the symbolizing and the integrating ones. The author further speculates on the relationship between the physical symptom, the failure of a particular dream function, the physiological correlates of the manifest versus the latent content of the dream, the breakdown of the process of symbolization and the activation of an archaic body image representation.
作者试图证明心身疾病患者梦境与症状形成之间的关系。许多易患心身疾病的患者的自我，由于保护屏障（一种母性功能）的早期冲击，表现出防御性的变形，这种冲击导致了温尼科特意义上的虚假自我的早熟发展。在一系列梦境中，一种或多种梦境功能的失效变得明显。这种失效在有心身症状的患者中经常出现，并取决于疾病的严重程度和病前因素，如人格、身体形象和客体关系类型。所确定的梦境功能包括创伤消解功能、愿望实现功能、象征功能和整合功能。作者进一步推测了身体症状、特定梦境功能的失效、梦境显性内容与隐性内容的生理关联、象征化过程的崩溃以及古老身体形象表征的激活之间的关系。
