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Defense against recall of painful affect is proposed as a significant element in the complex entity of neurotic sadomasochism and symptom formation. This formulation requires that the fantasy of reversibility--what happened can be undone--be analyzed in the transference and predict, for the patient, a painful feeling of loss and rage. The structure and tenacity of the powerful resistance to this work has the regressive, anal nature of reversibility which is also seen in the sadomasochistic characteristic of self and object interchangeability. The perceived threat of loss may be understood as related to early object loss, either whole or partial, and is associated with a flawed body image. Because the formative circumstances lie deep within the patient's past, reuniting residual affect, historical event, and early wishes by means of reconstruction is the only means of resolution. But, because it requires the relinquishment of the sustaining illusions of the sadomasochistic structure--omnipotentiality, omnipotence and bisexuality--the process will be experienced by the patient as intensely narcissistically dangerous. Vignettes from the analyses of two women illustrate the thesis and suggest the scope and direction of its clinical application.  相似文献   

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The defensive organization of manic states has been investigated with the Defense Mechanism Test-Separation Theme. A black and white stimulus portraying a mother figure who is leaving an infant alone was presented tachistoscopically, at increasing durations of exposure, to 22 inpatients who had had a manic episode and to 22 age- and sex-matched normal controls. The manic group was characterized by the following six major defense codings: (1) the infant is able to walk or run, (2) the mother is a rigid, inanimate being, (3) the mother is veiled or disguised, (4) the mother is protective or inviting, (5) the mother is seen as a male figure, and (6) colors are perceived in the colorless stimulus. Controls were more often coded for the denial of mother's actions (she enters the room, she opens a window, etc). The findings were discussed in the context of the pertinent percept-genetic and psychoanalytic literature.  相似文献   

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The study of a case of voyeuristic perversion and of some previously published cases of simple scopophilia suggests that fear of object loss early in life may be an important factor predisposing one to a propensity for voyeurism. The increased need to maintain visual contact with the object and to incorporate it visually leads to a hypercathexis of the visual function which is at the base of voyeurism. This need later becomes sexualized, while still retaining its pregenital connotations. Although object loss was apparently significant in the case of the patient described in this paper, it is not necessarily a factor in all cases of perverse voyeurism and, when present, may be considered as only one element in its pathogenesis.  相似文献   

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The psychoanalytic treatment of a young woman whose father had been killed in a concentration camp when she was four years old serves to illuminate certain aspects of libidinal and ego development, particularly as it touched on the effects of losing one's father just before entering the oedipal phase and on the defensive use of denial in lieu of mourning. Further consequences of the patient's loss are seen in the extent to which it influenced the self-image, sexual identity formation, and superego functioning, especially with regard to the role of guilt.  相似文献   

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Masochistic phenomena in adults are discussed as derivatives of conscious and/or unconscious fantasies. These masochistic fantasies are always associated with conscious and/or unconscious narcissistic and sadistic fantasies. These fantasies, like all fantasies in adults, are conceived of as compromise formations. After a selected review of the literature, analytic data are presented to highlight the clinical advantages of a contemporary elaboration of the structural hypothesis for the understanding of sadomasochistic and sadonarcissistic phenomena.  相似文献   

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This paper reports on several patients who use sado-masochism as a defense against an unconscious wish for and fear of merging. The sado-masochism can be expressed as a sexual perversion or in a difficult ungratifying interpersonal relationship. These relationships have some of the quality of addictions in that the patients have a compulsive need to continue them and find it extremely difficult to leave them. Therapy must focus on helping the patient become more separate, rather than on other problems which may also be present. Initially, the therapist needs to take an educational stance in regard to the process the patient must complete, rather than the more traditional analytic stance.  相似文献   

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This study examined relationships between academic cheating behaviors by using self-reports of past cheating behavior, providing a situational experiment with the opportunity to cheat, and evaluating defense mechanisms and object relations as measured by the Defense Mechanisms Inventory. Subjects included 75 female and 8 male university students ranging in age from 18 to 51 years (M=25.5, SD=6.9). Analysis showed variations in students' self-reported cheating history relative to their measured object relations status and type of defense mechanisms. Actual cheating in the experimental setting was not significantly related to any of these variables. Findings are discussed based on a critique of heterogeneity of the cheating construct.  相似文献   

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Psychoanalysis began with the concept of psychic trauma, which was subsequently not clearly differentiated from traumatic object loss or from unconscious conflict and fantasy. Psychic trauma is investigated in relation to unconscious conflict, with and without concurrent object loss. The syndromes of PTSD, uncomplicated by object loss, of traumatic bereavement, and of relatively nontraumatic bereavement, though often interwoven and inseparable, are all different. The significance of the loss, sociocultural factors, and group process influence individual responses to trauma and traumatic bereavement. There are specific neurobiological and psychological sequelae of traumatic experience. Clinical applications are noted.  相似文献   

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The author summarizes and develops some of her viewpoints on the perversions (outlined in several of the books and articles she has written). For her all the perversions, whatever their content, develop against an anal sadomasochistic backdrop. Their aim is to destroy reality. Reality, from a psychosexual perspective, may be defined as resulting from the existence of the father separating the mother and the child. This may be formulated in another way: reality is recognition of sexual and generational differences. Or, yet again: mother and father have a procreative sexuality, whereas the child does not. This leads to the idea that the destruction of reality is equivalent to destruction of the paternal universe. Clinical case illustrations are provided, one of which centers on the assassination of an old man who, besides representing a paternal oedipal image, also represents reality itself. This case illustrates in concrete form the murder of the father, and hence of reality, accomplished by the pervert when he eradicates the paternal dimension of psychosexuality by regressing to the anal sadomasochistic dimension.  相似文献   

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In reexamining the “sex war” debates between radical feminists and lesbian feminist sadomasochists, I find that the actual practice of sadomasochism provides the basis for a philosophically more complex position than has been articulated. In response to the anti-SM radical perspective, I develop a distinction between simulation and replication of patriarchal dominant/submissive activities. In light of this important epistemological and ethical distinction, I claim that the radical feminist opposition to SM needs reassessment.  相似文献   

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It was hypothesized that subjects would prefer to blame a character assault on negative ability characteristics of a dissimilar attacker as opposed to negative motivational characteristics in order to escape responsibility for the attack. It was reasoned that because we generally think of ourselves as having less potential influence over the abilities as opposed to the motivations of another person, it might be possible to diminish one's responsibility for another's behavior by attributing that behavior to that person's ability characteristics. Subjects in this experiment responded either to an insulting or noninsulting stimulus person who was either similar or dissimilar by selecting from a list of both motivational and ability bipolar trait dimensions, those dimensions they would most prefer to use in rating the stimulus person. As predicted, subjects responding to an insulting and dissimilar stimulus person showed a significantly greater preference for ability trait dimensions than subjects in the other conditions combined and also disliked the stimulus person more. The significance of these results for defensive attribution processes and phenomena such as racism and sexism are discussed.  相似文献   

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