Fonagy P
Child and Family Center, Menninger Clinic, London.
Bull Menninger Clin. 1998 Spring;62(2):147-69.
This article reviews the role of attachment in difficult-to-treat patients. It is suggested that difficulty often arises in the treatment of these patients because of their inadequate understanding of mental functioning in themselves and in others. The capacity to mentalize is seen as a function of early attachment relationships. Vulnerability introduced by insecure attachment is frequently compounded by a history of intense trauma, leading these patients to defensively inhibit their capacity to think about mental states in their abusers, which then generalizes to other attachment relationships. The clinical implications of this model are discussed.
本文综述了依恋在难治性患者中的作用。研究表明，这些患者治疗中常出现困难，原因在于他们对自身及他人心理功能理解不足。心理化能力被视为早期依恋关系的一种功能。不安全依恋所带来的脆弱性，常因强烈创伤史而加剧，导致这些患者防御性地抑制自己思考施虐者心理状态的能力，进而这种抑制会泛化到其他依恋关系中。本文还讨论了该模型的临床意义。
