癔症患者存在的身体问题:现象学视角。

IF 1.9 3区 医学 Q3 PSYCHIATRY Psychopathology Pub Date : 2023-01-01 Epub Date: 2023-04-28 DOI:10.1159/000530355
Cecilia Maria Esposito, Giovanni Stanghellini
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引用次数: 0

摘要

尽管癔症的概念显然已被当代分类学所超越,但人们仍在继续谈论这一概念。夏尔邦诺试图将癔症去女性化和去性别化,临床现象学可以提供这样一种视角,即通过中止判断来摆脱成见和偏见,使我们能够不把癔症作为一种诊断类别,而是作为一种存在立场来理解。从这个意义上说,癔症是建立在具身的自我不足的基础上的,它不被认为是稳固和连续的,需要外界来确认它的适当性。根据 "光学-审美不相称 "假说,具身自我的不足源于难以从第一人称视角体验自己的身体,以及由此产生的将他人的目光作为实现自我身份感和认同感的假体。癔症患者发展出一种以视觉表象为媒介的身体接触模式--因此,癔症患者的行为具有戏剧化、中心化和诱惑性。我们建议把对自己身体的视觉理解称为 "具象身体",这种理解试图弥补对生活身体的联觉理解的不足。随着时间的推移,"具象身体 "最终会将自己叠加到 "活生生的身体 "的直接经验之上。这种形象将自己置于代表性的位置,不仅传达了个人的幽灵,还传达了文化方面、社会偏见和性别成见。因此,试图以他人的目光为中介来体验自己的身体,就成了在不知不觉中将自己抛入表象的网中,而这种表象必然会使人产生疏离感。癔症患者始终无法获得非具象的身体体验,他们在总是来自外部的表象中疏远了自己。
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The Body in Question in the Existence of Hysteric Persons: A Phenomenological Perspective.

The concept of hysteria, although apparently surpassed by contemporary nosographic classifications, continues to be talked about. Following Charbonneau's attempt to de-feminize and de-sexualize hysteria, clinical phenomenology can offer a perspective which, freed from stigma and prejudices through the suspension of judgement, allows us to understand hysteria not as a diagnostic category but as an existential position. In this sense, hysteria would be based on a hypo-sufficiency of the embodied self, which is not perceived as solid and continuous and needs external confirmations of its adequacy. According to the optical-coenaesthetic disproportion hypothesis, the hypo-sufficiency of the embodied self originates from the difficulty of experiencing one's body from the first-person perspective and from the consequent use of the gaze of others as a prosthesis to achieve a sense of selfhood and identity. Hysteric persons develop a mode of access to their corporeality mediated by visual representations - hence the theatricalization, centrality, and seductiveness of hysteric persons' behaviour. We suggest to call "figural body" the visual apprehension of one's body which tries to compensate for the weakness of coenaesthetic apprehension of the lived body. Over time, the figural body ends up superimposing itself on the immediate experience of the lived body. Placing itself on a representative register, this image conveys not only individual ghosts but also cultural aspects, social prejudices, gender stereotypes. Thus, the attempt to experience one's own body with the mediation of the other's gaze becomes an involuntary and unaware throwing of oneself into the meshes of representation that are necessarily alienating for the person. Hysterical persons remain stuck in their inability to access an experience of their body that is not figurative, alienating themselves in representations which always come from outside.

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来源期刊
Psychopathology
Psychopathology 医学-精神病学
CiteScore
5.10
自引率
5.60%
发文量
54
审稿时长
>12 weeks
期刊介绍: ''Psychopathology'' is a record of research centered on findings, concepts, and diagnostic categories of phenomenological, experimental and clinical psychopathology. Studies published are designed to improve and deepen the knowledge and understanding of the pathogenesis and nature of psychopathological symptoms and psychological dysfunctions. Furthermore, the validity of concepts applied in the neurosciences of mental functions are evaluated in order to closely bring together the mind and the brain. Major topics of the journal are trajectories between biological processes and psychological dysfunction that can help us better understand a subject’s inner experiences and interpersonal behavior. Descriptive psychopathology, experimental psychopathology and neuropsychology, developmental psychopathology, transcultural psychiatry as well as philosophy-based phenomenology contribute to this field.
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