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从体验时间的角度看分裂现象:从多重人格、癔症到边缘型人格障碍的谱系

Splitting phenomena from a viewpoint of experiencing time: spectrum from multiple personality and hysteria to borderline personality disorder.

作者信息

Shoda H

机构信息

Department of Psychiatry, School of Medicine, Shinshu University, Matsumoto, Japan.

出版信息

Psychopathology. 1993;26(5-6):240-54. doi: 10.1159/000284829.

Abstract

Splitting is defined from a viewpoint of experiencing time as an 'episodic loss or sudden shift of experiencing time induced by two opposing representational groups'. According to this definition splitting phenomena are examined in four cases arranged on a spectrum from multiple personality and hysteria to borderline personality disorder (BPD). The degree of splitting was most prominent in BPD. In Contrast to the hypermnesia associated with hysteria, that of BPD had the potential to develop into paranoia. Splitting phenomena were considered to operate as a defense mechanism against the development to paranoia. In all four cases it could be seen that the overflow of 'parole', corresponding to the hypermnesia, could not be fruitfully conceptualized due to the splitting phenomena. Assuring new integration was indispensable to the therapy of the four presented cases.

摘要

分裂被定义为从体验时间的角度来看,是“由两个相互对立的表征群体引起的间歇性时间丧失或体验时间的突然转变”。根据这一定义,在从多重人格、癔症到边缘型人格障碍(BPD)的谱系中排列的四个案例中研究了分裂现象。分裂程度在BPD中最为显著。与癔症相关的记忆增强相反,BPD的记忆增强有发展为偏执狂的可能性。分裂现象被认为是一种针对偏执狂发展的防御机制。在所有四个案例中,可以看到,由于分裂现象,与记忆增强相对应的“言语”泛滥无法得到有效的概念化。确保新的整合对于所呈现的四个案例的治疗是不可或缺的。

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