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首页> 外文期刊>The International Journal of Psychoanalysis >RECALL AND REPETITION OF A SEVERE CHILDHOOD TRAUMA
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RECALL AND REPETITION OF A SEVERE CHILDHOOD TRAUMA

机译：严重儿童创伤的重访和重复

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摘要

This study focuses on a patient who at the age of 3 survived the extended suicide of her parents. The account concentrates on the way in which this woman repeated the experiences of her trauma in the highly emotional therapy process (initially infrequent), and then how she recalled them at different stages and with variations, and it shows the decisive involvement of the analyst in this activity, in parallel processes of defence and reconstruction. The distinction needs to be drawn between the reproduction of the trauma, the form in which the extreme trauma is indelibly tattooed on the memory, and actual recalling. This is to be regarded as a method of analytical understanding, general in its applicability, as an evolving retrospective imposition of sense, by means of which the previously valid construction of knowledge is revised in accordance with the central relationship in the present. What the patient recalled as trauma events in evolving perspectives revealed itself as an overpowering prefiguration (attainable a posteriori) of the vicissitudes of transference. With regard to extreme trauma in childhood, this study develops the following hypotheses: (1) the overwhelming, shattering blow of an external event is met by an equally strong, archaic defence, even in the historical situation itself, as an escape from the unbearable, unspeakable pain; (2) the Janus face of the victim/perpetrator introject is manifest in the masochistic character-structure; (3) these splits can be attenuated in the course of a person's life, with the appropriate help, although they cannot be fully integrated.
机译：这项研究的重点是一名3岁以下的患者，该患者在其父母的长期自杀中幸存下来。叙述着重于这位妇女在高度情绪化的治疗过程中（最初很少）重复她的创伤经历的方式，然后是她如何在不同的阶段以不同的方式回忆起它们的经历，并且表明了分析家在这项活动是在防御和重建的并行过程中进行的。需要区分创伤的再现，极端创伤在记忆上不可磨灭地刺上纹身的形式与实际记忆之间的区别。这被认为是一种分析性理解的方法，通常在其适用性方面，是一种不断发展的回顾性意义的强加，通过它，根据当前的中心关系，可以修改先前有效的知识构造。患者从不断发展的观点中回顾为创伤事件，这显示出自己是移情沧桑的压倒性预兆（可达到的后验）。关于儿童时期的严重创伤，本研究提出以下假设：（1）外部事件的压倒性破坏是由同样强大的，古老的防御来应对的，即使在历史情况本身中也是如此，以逃避无法忍受的痛苦，难以言喻的痛苦； （2）受虐者/受虐者所表现出的詹努斯面孔表现在受虐的性格结构中； （3）尽管不能完全整合，但在适当的帮助下，这些分裂可以在人的一生中逐渐减弱。

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