Friedman M
Mt. Sinai Hospital and Medical Center, USA.
Psychoanal Study Child. 1996;51:475-90.
This chapter examines the complex experiences and meanings of breastfeeding for women engaged in it. My review of the sparse literature to date reveals that understanding of breastfeeding has been limited largely to an oral perspective. The sociology and physiology of lactation are sketched here to provide a background for the multifaceted psychic experiences reported by breastfeeding women. Within this more complex context it can be demonstrated that breastfeeding kindles aspects of all the psychosexual stages, touching off a cascade of fantasies and feelings in the nursing woman. Case vignettes also illustrate the broad clinical utility of an interest in breastfeeding. The question arises as to why there has been such reticence on the part of both patients and analysts regarding breastfeeding. Paying attention to this activity can yield rich and useful information about the nursing mother's unconscious attitudes. Issues of power, competence, erotism, and aggression are discussed in addition to those of orality and nurturance.
本章探讨了参与母乳喂养的女性的复杂经历及母乳喂养的意义。我对迄今为止为数不多的文献的回顾表明，对母乳喂养的理解在很大程度上局限于口欲角度。此处简述泌乳的社会学和生理学知识，以便为母乳喂养女性所报告的多方面心理体验提供背景。在这个更为复杂的背景下，可以证明母乳喂养激发了所有性心理阶段的各个方面，在哺乳期女性身上引发一连串的幻想和感受。案例 vignettes 也说明了对母乳喂养感兴趣的广泛临床效用。问题在于，为何患者和分析师对母乳喂养都如此缄默。关注这一活动能够产生关于哺乳期母亲无意识态度的丰富且有用的信息。除了口欲和养育问题外，还讨论了权力、能力、性欲和攻击性等问题。
