心理能量的动态心理学:重新发现皮埃尔·珍妮特的创伤理论

Seokwon Yang
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摘要

最近学术界对神经科学和皮埃尔·珍妮特心理学的密切关系的关注,使他被重新评估为神经科学创伤研究的先驱。本文在神经科学时代对珍妮特的心理学进行重新评价的背景下,考察了珍妮特的创伤理论。珍妮特的复兴主要是由于他在敏锐地观察到身心之间不可分割的联系和动态互动的基础上构建了他的心理系统。Janet通过对歇斯底里患者无意识的自动活动的观察,将人类的活动理解为一种心理现象,从而发现了与正常意识分离的、持有固定观念的潜意识,它导致了无意识运动和瘫痪的症状。分离来自于意识的狭窄和它无法整合感知。创伤性事件与遗传因素一起,诱发意识的收缩,促使心智的低级功能,如心理自动性,损害心智的高级整合功能。珍妮特的心理治疗理论旨在通过暗示找到并清除固定的想法,从而重新整合游离的意识,但它也用这些想法来替代对创伤事件的积极重新概念化,甚至拆除和切除创伤记忆。由于无法将创伤性事件融入到他的生活史叙述中,病人反复地、不知不觉地重演这些事件。因此,治疗涉及“呈现”,这使患者能够从现在的有利位置将创伤事件描述为过去的事故。适应是通过经济地评估病人因创伤而耗尽的精神能量水平,并推广各种方法来防止进一步耗尽,并将心理“力量”重新投入到精神的更高“趋势”中来实现的。Janet还提出了治疗师的“道德指导”,以平衡治疗师的积极干预和他对患者心理独立的支持,这提醒神经科学创伤学家在治疗过程中受试者的代理和人际互动的重要性。
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The Dynamic Psychology of Mental Energy: Rediscovering Pierre Janet’s Trauma Theory
Recent scholarly attention to the affinity of neuroscience and Pierre Janet’s psychology has led to his reassessment as a precursor of neuroscientific trauma studies. This essay examines Janet’s trauma theory in the context of this reappraisal of his psychology in the age of neuroscience. Janet’s resurgence is primarily due to the fact that he constructed his psychological system on his keen observations of the inseparable connection and dynamic interaction between the mind and the body. Janet’s observation of hysterical patients’ unconscious automatic activities enables an understanding of human activity as a psychological phenomenon, leading him to the discovery of the subconscious which is dissociated from the normal consciousness and holds fixed ideas that cause symptoms of involuntary movement and paralysis. Dissociation results from the narrowing of consciousness and its failure to integrate perceptions. Traumatic events, together with heredity factors, induce the retraction of consciousness, precipitating the mind’s lower function such as psychological automatism, and impairing its higher function of integration. Janet’s theory of psychological healing aims to reintegrate dissociated consciousness by finding and liquidating fixed ideas through suggestion, but it also substitutes those ideas for positive re-conceptualization of traumatic events and even dismantling and excising traumatic memories. Unable to assimilate traumatic events into the narrative of his life history, the patient repeatedly and unwittingly re-enacts them. Accordingly, healing involves “presentification” which empowers the patient to narrate traumatic events as past accidents from the vantage point of the present. Adaptation is accomplished by economically assessing the level of patient’s mental energy, which has been depleted by trauma, and promoting diverse methods to prevent further exhaustion and reinvest psychological “force” into higher “tendencies” of the mind. Janet also proposes the therapist’s “moral guidance” that balances the therapist’s active intervention and his support of the patient’s psychological independence, which reminds neuroscientific traumatologists of the importance of the subject’s agency and human interaction in the healing process.
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