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引用次数: 2

摘要

精神分析思想家倾向于将成瘾与物质使用混为一谈。在任何使用的时刻,一种物质都可以具有调节情绪的特性,甚至可能是一个人或一种功能的象征性替代品(强迫性物质使用的自我心理学方法的核心理论)。然而,上瘾——与使用相反——是一种随着时间的推移而发生的状态,代表着失去选择。我认为,成瘾远非一种象征行为,而是一种反象征状态,将个体从需要人类背景和广泛、动态的时间感的叙事模式中拉出来,进入一种条件模式或躯体反馈模式,这种模式主要依赖于积极和消极强化,并倾向于缩小时间视野。本文的一个原则是,严格狭隘的主观时间感,我称之为“低时间带宽”,是一个人容易上瘾的最突出特征,这一特征与条件模式有关,而不是叙事模式。这篇文章追溯了一些早期的低时间带宽的关系路径,并探索了一种新的人类治疗环境,以情绪状态的叙述为中心,如何允许更灵活、动态的时间带宽,这通常会极大地放松成瘾的吸引力。
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Addiction and Temporal Bandwidth
Psychoanalytic thinkers tend to conflate addiction with the use of substances. At any moment of use, a substance can have emotion-regulating qualities and may even appear to be a symbolic substitute for a person or a function (a theory at the heart of the self-psychological approach to compulsive substance use). However, addiction—as opposed to use—is a state that happens over time and represents a loss of choice. It is my belief that far from being a symbolic act, addiction is an anti-symbolic state, plucking an individual from a narrative mode of being, which requires a human context and a broad, dynamic sense of time, to a conditioned mode or a somatic feedback mode, which relies largely on positive and negative reinforcement and tends to narrow temporal horizons. A tenet of this article is that a rigidly narrow subjective sense of time, what I call “low temporal bandwidth,” is the most prominent feature in a person’s vulnerability to addiction, a feature linked to a conditioned mode of being, as opposed to a narrative mode. This article traces some of the early relational pathways to low temporal bandwidth and explores how a new human context in therapy, centered on the elaboration of emotional states into narratives, can allow for more flexible, dynamic temporal bandwidth that often dramatically loosens the pull of addiction.
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