Price M
Treatment Center for Incest and Abuse, Karen Horney Clinic, New York City.
J Am Acad Psychoanal. 1993 Summer;21(2):213-28. doi: 10.1521/jaap.1.1993.21.2.213.
In conclusion, the purpose of this paper was to elucidate some of the long-term impacts of the incest trauma on women. This includes its impact on identity formation. The process of idealization and the creation of an idealized image as a defensive and adaptive strategy to cope with overwhelming trauma was highlighted. This initially successful coping mechanism later causes problems in limiting the individual's self-perception and restricting her relationships with others. This is frequently manifested in problems that the adult survivor presents in regard to interpersonal relationships, as well as revictimization and an inhibition in identifying and expressing certain aspects of herself. The goal of treatment is therefore twofold. I am in agreement with Alpert (1991), van der Kolk (1987), and others who stress the importance of the validation and integration of the trauma and related affects through the recovery and reliving of past memories. Additionally, an analysis of the character structure that the person developed to cope with overwhelming and damaging experiences is essential. The achievement of a more cohesive, integrated sense of self for an adult survivor of incest can only be accomplished through the working through of past traumas and the understanding of its effect on identity development and character structure. This aspect of the treatment process was best expressed by one of my patients, who said, "the first part of my analysis dealt with remembering and reliving what happened to me, the second part is dealing with who I had to become and not become as a result of it." She later added that she felt the second part is even more difficult and challenging.
总之,本文的目的是阐明乱伦创伤对女性的一些长期影响。这包括其对身份形成的影响。文中强调了理想化过程以及创造理想化形象作为应对压倒性创伤的防御和适应策略。这种最初成功的应对机制后来在限制个体自我认知和限制她与他人的关系方面引发了问题。这经常表现为成年幸存者在人际关系中出现的问题,以及再次受害和在识别和表达自己某些方面时的抑制。因此,治疗的目标是双重的。我同意阿尔珀特(1991年)、范德科尔克(1987年)以及其他强调通过恢复和重温过去记忆来验证和整合创伤及相关情感的重要性的人。此外,分析个体为应对压倒性和破坏性经历而形成的性格结构至关重要。对于乱伦成年幸存者而言,只有通过梳理过去的创伤并理解其对身份发展和性格结构的影响,才能实现更具凝聚力、更完整的自我认知。我的一位患者很好地表达了治疗过程的这一方面,她说:“我分析的第一部分是回忆和重温发生在我身上的事情,第二部分是处理由于这件事我必须成为什么样的人以及不能成为什么样的人。”她后来补充说,她觉得第二部分甚至更困难、更具挑战性。