Migden S
St. Mary's Children and Family Services, Syosset, New York, USA.
Psychoanal Study Child. 1998;53:282-99. doi: 10.1080/00797308.1998.11822488.
Dyslexia and the self-control problems that frequently accompany it are viewed from an ego psychoanalytic perspective. Dyslexia is conceptualized as resulting from an ego deficit in language processing; this deficit is seen as contributing to the ADHD-type symptoms often seen in dyslexic children. Lacking certain crucial components of linguistic competence, the dyslexic child is therefore also lacking a basic tool of impulse control. As a result, this child may exhibit a type of language deficit based impulsivity that has dynamic characteristics which are diagnostically significant. In addition, the ego deficit associated with dyslexia affects and interacts with unfolding drives, especially during the oedipal phase; unlike the more normal child, whose newly ascendant language skills help to inhibit oedipal fantasies and impulses, the dyslexic youngster is prone to a marked intensification of oedipal concerns, especially as these interact with actual experiences of failure. The treatment implications of these issues are discussed.
从自我精神分析的角度审视诵读困难症以及经常伴随出现的自我控制问题。诵读困难症被概念化为语言处理过程中自我缺陷的结果；这种缺陷被视为导致诵读困难儿童中常见的多动症类型症状的原因。由于缺乏语言能力的某些关键组成部分，诵读困难儿童也缺乏冲动控制的基本工具。因此，这个孩子可能表现出一种基于语言缺陷的冲动性，其具有在诊断上具有重要意义的动态特征。此外，与诵读困难症相关的自我缺陷会影响并与正在发展的驱力相互作用，尤其是在俄狄浦斯阶段；与正常儿童不同，正常儿童新出现的语言技能有助于抑制俄狄浦斯幻想和冲动，而诵读困难的青少年则容易出现俄狄浦斯担忧的明显加剧，尤其是当这些担忧与实际的失败经历相互作用时。讨论了这些问题对治疗的影响。
