Lang H, Weiss H
Institut für Psychotherapie und Medizinische Psychologie, Universität, Würzburg.
Z Klin Psychol Psychopathol Psychother. 1994;42(2):118-27.
Discussing classical psycho-analytic interpretations of delusion the authors show that neither the notion of "projection" nor the theory of regression to very early stages of ego-formation provide a satisfying explanation for the difficulty of those patients to discern inner world from external reality. An approach to this crucial question rather has to consider the underlying structural differences in order to differentiate between neurotic and psychotic symptom formation. The basis for psychotic symptoms is identified in a deficient mode of symbol-formation impeding certain structural patterns or spheres of conflict from being integrated into the whole of the subject's existence. If required under certain circumstances those "excluded" parts of the personality overwhelm the subjective experience arising as something radically strange and uncanny. A psychotic phenomenon like delusion bears witness of this break down, but at the same time is an attempt to cope with this threatening experience.
在讨论对妄想的经典精神分析解释时，作者表明，“投射”概念和自我形成极早期阶段的退行理论，都无法令人满意地解释这些患者难以区分内心世界与外部现实的问题。解决这个关键问题的方法，反而必须考虑潜在的结构差异，以便区分神经症和精神病性症状的形成。精神病性症状的基础在于符号形成模式的缺陷，这阻碍了某些结构模式或冲突领域融入主体存在的整体。在某些情况下，如果有需要，人格的这些“被排除”部分会压倒作为某种极其陌生和离奇的东西而产生的主观体验。像妄想这样的精神病性现象证明了这种崩溃，但同时也是应对这种威胁性体验的一种尝试。
