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[情感与精神病理学:一种本土理论]

[Emotions and psychopathology: an indigenous theory].

作者信息

Tousignant M

出版信息

Acta Psiquiatr Psicol Am Lat. 1981 Jul;27(3):194-9.

PMID:7348078
Abstract

After reviewing the beliefs concerning folk illnesses such as susto, colico and pena, which are said to be caused by emotions in Latin America, we tried to understand the attitudes Indians have toward these emotions. The main states discussed are fright, anger and grief and they are related to a universe of spirits seen as the agents of these states or as being annoyed by them. Although there are obvious parallels between his mode of thinking and psychosomatic medicine, the underlying principles are quite different. The emotions involved in the causation of illnesses are regarded as a reflection of weaknesses in the individual. But if Indians consider emotions to be a sign of weakness, they do not see them as the opposite pole to reason as Western philosophy and psychoanalysis do (id. against the ego). The latter points to traumatic experiences as a very important factor in the genesis of neurosis, but during the cure these experiences must be talked about and thus integrated into rational discourse (Das soll ich Werden). Native healers, on the contrary, do most of the work of the cure and they oftenenter into altered states of consciousness, either through drugs or alcohol, in order to supersede the spirits overpowering the patient or to gain the complicity of superior gods, thus making only minimal use of verbal exchange.

摘要

在审视了关于诸如惊吓症、腹绞痛和悲伤症等民间疾病的观念后(据说这些疾病在拉丁美洲是由情绪引起的),我们试图去理解印第安人对这些情绪的态度。所讨论的主要情绪状态是恐惧、愤怒和悲伤,它们与一个被视为这些情绪状态的引发者或因这些情绪而恼怒的神灵世界相关。尽管他的思维模式与心身医学之间存在明显的相似之处,但其 underlying principles 却大不相同。在疾病成因中涉及的情绪被视为个体弱点的一种反映。但是,如果印第安人认为情绪是弱点的标志,他们并不像西方哲学和精神分析那样将其视为与理性相对立的一极(本我对抗自我)。后者指出创伤性经历是神经症成因中的一个非常重要的因素,但在治疗过程中,这些经历必须被谈论并因此融入理性话语(“我将成为谁”)。相反,本土治疗师在治疗中承担了大部分工作,他们常常通过药物或酒精进入意识改变状态,以便战胜控制患者的神灵或获得上级神灵的协助,因此在治疗中仅极少地运用言语交流。

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