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Failure to Mentalize Self and Masochistic Functioning

机译:无法自拔和受虐功能

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Mentalization includes the ability to apprehend and reflect upon one's subjective state, as well as an appreciation of one's agency (Fonagy & Target, 2006). Masochism is a character pattern that is traditionally defined as pleasure in pain or suffering (Million, 1996). In some cases the etiology of this character pattern may mirror failures on the part of the caregiving surround that contribute to deficits in the ability to mentalize self (Fonagy, Gergely, & Target, 2007; Benjamin, 1988). When this occurs masochism may be more profitably understood as an inability to register pain, rather than pleasure in pain. A case example demonstrates that when a deficit in mentalization underlies masochistic functioning, treatment may include interventions aimed at helping the patient improve the ability to reflect upon his or her mental state, especially negative affect such as pain and anger, and connect to a sense of agency.
机译:心理化包括理解和反思一个人的主观状态的能力,以及对一个人的代理的欣赏(Fonagy&Target,2006)。受虐狂是一种性格模式,传统上被定义为痛苦或痛苦中的愉悦感(Million,1996)。在某些情况下,这种性格特征的病因学可能反映出照料者周围环境的失败,这些失败导致了自我心理能力的下降(Fonagy,Gergely,&Target,2007; Benjamin,1988)。当发生这种情况时,受虐狂可以被更有益地理解为无法记录痛苦,而不是痛苦愉悦。一个案例表明,当心理障碍不足是受虐行为的基础时,治疗可能包括旨在帮助患者提高对自己的心理状态进行反思的能力的干预措施,尤其是诸如疼痛和愤怒之类的负面影响,并与一种机构。

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