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[反社会儿童和青少年治疗中的范围与内容相关性。对紊乱象征化过程的精神分析研究]

[Correlation of scope and content in treatment of dyssocial children and adolescents. A psychoanalytic study of disordered symbolization processes].

作者信息

Trempler V

出版信息

Prax Kinderpsychol Kinderpsychiatr. 1998 Jul-Aug;47(6):387-405.

PMID:9738399
Abstract

The article discusses the significance of a holding therapeutic environment for the processes of symbol development. Using epistomological psychoanalytic concepts it demonstrates, through a series of examples, how semiotic progression can be facilitated or how, through insufficient handling of frame guiding therapeutic semiotic regression--in the sense of a "reversal of alpha function"--can be triggered, with a resultant increase in symptomatic behavior. The distinction is drawn between three different levels of mental functioning: At the deepest level, behavior is controlled according to somatic, autoregulative and homoeostatic principles. The second level is concerned with mental functioning, such as determines behavior of individuals within a group and which is influenced by symbol systems and affective automatisms, while obeying a type of "symmetrisation-mechanism." Only at the third level, we are concerned with psychic spaces and the thinking subject, who is capable of symbolic interaction with both the internal and external world.

摘要

本文讨论了维持治疗性环境对于符号发展过程的重要性。运用认识论精神分析概念,通过一系列例子表明,符号学进展是如何得到促进的,或者在“阿尔法功能逆转”的意义上,通过对引导治疗性符号学回归的框架处理不当是如何引发符号学回归的,从而导致症状行为增加。文章区分了心理功能的三个不同层次:在最深层次,行为是根据躯体、自我调节和稳态原则来控制的。第二个层次涉及心理功能,例如决定个体在群体中的行为,并且受到符号系统和情感自动机制的影响,同时遵循一种“对称机制”。只有在第三个层次,我们才关注心理空间和思维主体,思维主体能够与内部和外部世界进行符号互动。

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