Eckhardt A, Hoffmann S O
Klinik für Psychosomatische Medizin und Psychotherapie, Johannes-Gutenberg-Universität.
Z Psychosom Med Psychoanal. 1993;39(3):284-306.
Patients with deliberate self harm syndrome and with factitious disorders often describe depersonalisation phenomena, during which they have a diminished pain sensitivity or analgesia. The self-mutilating act can stop the depersonalisation temporarily. Concerning the psychodynamic processes there are common traits between depersonalisation and self-mutilation. The connections between depersonalisation and self-mutilating behaviour are described. Depersonalisation is understood as a defense mechanism, ranging between mature and immature defense mechanisms. An illustrative case is demonstrated.
患有蓄意自伤综合征和做作性障碍的患者常常描述人格解体现象，在此期间他们的痛觉敏感性降低或出现痛觉缺失。自我伤害行为可暂时终止人格解体。关于心理动力学过程，人格解体和自我伤害之间存在共同特征。文中描述了人格解体与自我伤害行为之间的联系。人格解体被理解为一种防御机制，介于成熟防御机制和不成熟防御机制之间。文中展示了一个典型案例。
