Kilchenstein M W, Schuerholz L
Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Bull Menninger Clin. 1995 Fall;59(4):443-59.
The authors suggest that unbearable early life experiences that force the infant to use autistic defenses often constitute a significant factor leading to cognitive impairment. These autistic defenses are self-generated (sensory) soothing devices that shut out consciousness of the world and foreclose the need to relate to anyone or anything that is not under the complete control of the subject. Two clinical examples are given from opposite ends of a continuum of patients with varying degrees of cognitive impairment.
作者认为,迫使婴儿采用自闭症防御机制的难以承受的早期生活经历,往往是导致认知障碍的一个重要因素。这些自闭症防御机制是自我产生的(感官)安抚手段,它们隔绝了对外部世界的意识,消除了与任何不受主体完全控制的人或事物建立联系的需求。文中给出了两个临床实例,分别来自认知障碍程度不同的连续体两端的患者。