价值观对蓄意创伤受害者创伤后应激障碍症状的影响

探讨价值观对蓄意创伤受害者创伤后应激障碍（Posttraumatic Stress Disorder ,简称PTSD）症状的影响方式。方法：采用事件冲击量表、受害人认可评价量表、施瓦兹价值观量表作为测查工具,测查了163 名蓄意创伤受害者。结果：（1）蓄意创伤受害者的PTSD三大症状表现有显著差异,闯入症状水平最高,回避症状水平次之,高警觉症状水平最低。（2）蓄意创伤受害者所持的价值观和对外界接纳的评价能较好地预测PTSD三大症状。（3）内敛价值类型通过诸如社会接纳等反映外在标准的因素影响PTSD的闯入症状。结论：蓄意创伤受害者PTSD症状表现有其自身的特点,对外界接纳的评价和自身所持的价值观对其PTSD症状有直接或间接的影响     

Freud's prehistoric matrix-Owing 'nature' a death

This paper is informed by contemporary literature in two fields-neonatal research, on the one hand, and the burgeoning interdisciplinary interest in Moses and monotheism, on the other. The author postulates that a cluster of traumatic events during the first two years of Freud's life compelled him to repeat what could not be remembered. Embedded in charged implicit schema, these affects remained unprocessed in Freud, who alone of all psychoanalysts did not have an analysis, manifesting in an uncanny dread/allure of the 'prehistoric' as a dark and dangerous era relating to the archaic feminine/maternal matrix and fratricidal murderousness. Furthermore, she cites evidence to suggest that for Freud this unconsciously excluded subtext of the preoedipal era became associated with ancient Egyptian and Minoan-Mycenaean cultures, a passionate fascination actualized in his collection of antiquities yet incongruously absent in his theoretical work, with three exceptions-Egyptian allusions in Leonardo's unconscious attachment to his archaic mother; the 'Minoan-Mycenaean' analogy on discovering the pre-oedipal mother shortly after the death of Freud's own mother; and Egypt as cradle of humanity in his uncharacteristically rambling, troubled text of Moses and monotheism. The author sees Freud's conceptual avoidance yet compulsive reworking of the prehistoric matrix as a symptomatic attempt to expose early unformulated representations that 'return to exert a powerful effect.'     

The influence of extreme traumatization on body, mind and social relations

Extreme traumatization affects the individual's relation to others in several social and psychological ways. The post-traumatic experiences are characterized by helplessness, insecurity, anxiety, loss of basic trust, and fragmentation of perspectives on one's own life. Special considerations should be given to the destruction of the ability to regulate negative emotions (extreme fear, distress, anguish, anger, rage, shame) in relation to others and activate internal good and empathic object relations. Destruction of the capacity for symbolization of traumatic experience may threaten the mind with chaotic states against which the 'I' tries to defend itself and find a balanced psychic mise-en-scene. The authors emphasize three dimensions that the analyst should observe in his understanding of the traumatized mind and its conflicts. The proposed dimensions are called the body-other dimension, the subject-group dimension, and the subject-discourse dimension. All three dimensions have specific structural characteristics that are expressed in the analytic relation. Extreme trauma causes disturbances in each of these dimensions. The authors present clinical material from a traumatized refugee to illustrate the analytic work.     

Working through the end of civilization

This is an account of how a civilization works through the problems it faces when it is threatened with destruction. It focuses on the example of the Crow Nation, an Indian tribe of the northwest plains of North America, and their last great chief Plenty Coups. Psychoanalytic ideas play a crucial role in explaining how a creative response was possible. In particular, their collective use of dream-visions and dream-interpretation made possible the creation of a new ego ideal for the tribe. This allowed for the transformation of traditional allocations of shame and humiliation. It also allowed for the possibility of transformation of psychological structure. And it opened up new possibilities for what might count as flourishing as a Crow. Conversely, the threat of civilizational collapse allows us to see new possibilities for the conceptual development of psychoanalysis. In particular, psychoanalysis needs to recognize that destruction can occur at the level of the culture while the individuals are not physically harmed. The psychological states of these individuals can be various and complex and cannot be neatly summed up under the category of trauma. A culture can be devastated, while there is no one-to-one relation to the psychological states of the individuals who participate in that culture. It is also true that a collapse of a way of life makes a variety of psychological states impossible. Coming to understand these phenomena is essential to understanding how a culture works through threats to its very existence.     

Creation as transformation: Parenting as a turning point in drug users’ lives

This paper is drawn from a narrative inquiry into how ex‐drug users understand the connection between childhood trauma and their subsequent drug misuse. The research was commissioned by a community drugs project. Eight participants were selected from respondents to an advertisement in a counselling journal, five of whom are qualified psychological therapists. The particular focus of this paper is on the interconnection of childhood trauma/abuse, drug misuse and parenting, by showing participants’ own experience of being parented and how the experience of becoming a parent helped them to transform their relationship with drugs. The paper draws attention to the therapeutic value of recognising the complex contextual factors that influence the parenting abilities of problematic drug users, and of building upon the positive attitudes, hopes, values and capabilities that underscore the ‘good parenting’ found in their stories. The work suggests that drug rehabilitation, treatment or counselling might usefully focus on parent–child relationships, which can become a turning point for identity transformation.     

Performance as annihilation or integration?1

What happens when the analyst has the impression of being annihilated by the patient? Analysts have a tendency to use more general, i.e. simplifying, constructions such as destructiveness, psychosis or death instinct as explanatory models. In the authors' view, these constructions in the end evade rather than mirror clinical reality. More recent research points to promising possibilities of differentiation, e.g. psychotic mechanisms which are‐as yet undiscussed‐based on Freud's notion of the partial ‘rent in the relation between ego and external world’. These findings emphasize the restitutive function of a symptom or disturbance, i.e. destruction of a relationship which hinders the therapeutic process and which is not understood initially, instead of solely stressing the destructive meaning in a tabooing gesture. The concept of performance attempts to replace simplifying models with a discriminant process, and will be preliminarily defined and explained in delineation to terms already in use such as acting out, enactment, and role responsiveness. The authors explore the question of how the perception of unthought certainty in the performance can either be recognized as a blueprint, i.e. organizing activity, or as the destruction of the relationship so that a new one can emerge. The evidence from a detailed clinical example shows that many treatments can fail at this point and demonstrates how an understanding of performance in this sense offers a chance for integrating processes that otherwise impede treatment.     

'Dialectical process' and 'constructive method': micro-analysis of relational process in an example from parent-infant psychotherapy

Jung defined experience that takes place between therapist and patient as 'dialectical process', achieved through 'constructive method'. Perspectives from attachment theory, neurobiology, cognitive science, systems thinking and infancy research confirm and extend his view of the centrality of relational process in the development of self. Interactional experiences are embedded within the history of the primary parent-infant relationship and structure within the mind implicit patterns of relating. These patterns influence capacities for managing a whole lifetime of affective relational experience within the self and with others. This paper shows how parent-infant psychotherapy seeks to intervene during the formation of disturbed relational patterns. I offer detailed micro-analysis of the moment-to-moment 'dialectical process' that a mother, her four-month-old infant and myself 'constructed' together.     

Psychic phenomena and early emotional states

This paper examines the relationship between severe early trauma and the development of psychic intuition. A case presentation with extensive dream work helps to illustrate this connection by exploring the psychological meaning of one patient's acute receptivity to unconscious communications. The paper includes a historical overview of Freud's attitudes toward occultism, as distinct from later psychoanalytic views, including those of Wilfred Bion. Many of Bion's views have more in common with Jung's perspective than with Freud's, with particular reference made to spiritual and religious differences. Bion clearly states that Freud and psychoanalysts have focused on phenomena, not on noumena, which Bion considers to be the essence of the psychoanalytic point of view.     

Through the Iron Curtain: analytical space in post-Soviet Russia

This paper discusses the experience of working as an analyst in post-totalitarian Russia in order to explore some of the general theoretical and clinical issues involved in working in a different cultural and linguistic context, and the particular problems encountered in the Russian cultural context. It describes how the Soviet regime worked actively to create a new totally collective mentality through the destruction of individual differences and the collectivization of private space, and the effects this produced in the individual and collective psyche. It examines the difficulties encountered when working with Russian analysands in creating and maintaining the setting, in preserving boundaries, in creating analytical space, and in working with certain particular transference-countertransference dynamics. It focuses on the contrast between my own Western experience of space and the spatial experience of the analysands, and describes the process of helping them use analytical space to interiorize and create a new experience of psychic space. The paper uses dreams to illustrate some of these dynamics, and the particular psychic problems associated with the traumas created by totalitarian regimes.     

The analytic nursery: Ferenczi's 'wise baby' meets Jung's 'divine child'

In 1923, Sandor Ferenczi wrote a paper entitled 'The dream of the clever baby', in which he identified a phenomenon he discovered through his clinical work: the notion that young children who had been traumatized often had accelerated developmental characteristics that led them to acquire highly acute sensitivities and intuitions--in short, wisdom beyond their years. He characterized them as 'wise' babies. Similarly, C. G. Jung, with Karl Kerenyi, (1949) elaborated a myth known as the 'divine child'--identifying an archetype which activates healing and intuitive understanding in children and adults. In their work, Jung (and Kerenyi) explored the 'divine child' archetype from a mythological and a psychological perspective. The following paper elaborates aspects of Ferenczi's 'wise child' and Jung's 'divine child', comparing and contrasting them, and suggesting new perspectives on the connections between Ferenczi's and Jung's theoretical and clinical perspectives, and the two men themselves. As well, and specifically, the paper explores a comparative understanding of the development of two different modalities of early psychodynamic concepts with regard to children and their response to trauma, aspects that continue through theoretical and clinical practice today.