消沉經驗與自體疾患－Kohut自體心理學之應用

The Experience of Self-Affliction and Self-Disorder: A Kohut's Self-Psychology Perspective

10.3966/156092512019060070006

吳珮瑀(Pei-Yu Wu)

自體 ； 自體心理學 ； 自體疾患 ； 消沉傾向 ； psychoanalysis ； self-affliction tendency ； self-disorder ； self-psychology

應用心理研究

70期（2019 / 06 / 01）

185 - 226

繁體中文

本文以自體心理學為理論基底，從自體疾患（self disorder）的觀點，詮釋「消沉傾向（self-affliction tendency）」（吳珮瑀、林清文、陸洛，2016）。就Kohut所提出之自體疾患定義，分析Church及Brooks（2009）就隱微自殺現象所編擬之模擬個案—Jack，分析其內在自我（self）發展的貧瘠如何導致其消沉的生活態度，以致於孤寂而死。此舉乃嘗試說明，所謂「隱微自殺」實則為自體疾患常出現之消沉經驗。Jack的遭遇是許多成癮、情感疏離、人際關係困難者的縮影，從自體發展來看，符合Kohut所謂自體缺陷，乃至自體疾患的定義；從消沉傾向的眼光來看，人們可以從其存在疏離、困竭思覺、疏忽自我照顧及關係矛盾等四方面，觀察其自體缺陷之外顯行為，有助於自體疾患之辨認。消沉傾向之探討有助於增進心理治療工作者對於人類自我毀滅與破壞行為的了解，並從自體發展之脈絡，深入解析廣泛存在於現代人生活中的消沉現象，有助於預防身心疾病的發生。

By use of a case study, this paper interprets the phenomenon of a ＂self-affliction tendency,＂ based on the theory of self-disorder (Wu, Lin, & Lu, 2016). According to definitions taken from Kohut's theory of self-psychology, there are four dimensions of self-affliction: existential alienation, dysfunction, poor self-care, and contradictory relationship within the framework of self-disorder. The obvious behaviors of self-defect can be found through self-observation. Using this framework, the analysis focuses on the case study of Jack, who was living with depressing life attitudes and was lonely and spiritually dead, all because of poor development of the inner-self. Jack also encountered the experiences of addiction, emotional alienation, and other interpersonal difficulties. As such, his situation was consistent with the definitions of ＂self-disorder＂ and ＂self-affliction tendency.＂ The paper concludes that seeking understanding of the four dimensions of self-affliction could be potentially helpful for practitioners in realizing the nature of self-defeating and self-destructive behaviors. In this sense, it might also be able to help prevent or address physical and mental illnesses in people's lives.

1. 吳珮瑀, P. Y.,林清文, C. W.,陸洛, L.(2016)。大學生消沈傾向量表之發展研究。教育心理學報，48(2)，253-278。
   連結：
2. Church, M. A.,Brooks, C. I.(2009).Subtle suicide: Our silent epidemic of ambivalence about living.Palo Alto, CA:Praeger.
3. Freud, S.,Dufresne, T.(Ed.),Richter, G. C.(Trans.)(2011).Beyond the pleasure principle.Peterborough, Canada:Broadview.
4. Kohut, H.(1977).The restoration of the self.New York, NY:International Universities.
5. Kohut, H.(1971).The analysis of the self: A systematic approach to the psychoanalytic treatment of narcissistic personality disorders.New York, NY:International Universities.
6. Kohut, H.,Goldberg, A.(Ed.),Stepansky, P. E.(Ed.)(1984).How does analysis cure?.Chicago, IL.:University of Chicago.
7. Kramer, S.(Ed.),Akhtar, S.(Ed.)(1994).Mahler And Kohut: Perspectives on development, psychopathology and technique.New York, NY:Jason Aronson.
8. Wolberg, L. R.(1980).Handbook of short-term psychotherapy.New York, NY:G. Thieme Verlag.
9. Wolberg, L. R.(1988).The technique of psychotherapy (Parts 1 & 2).Florence, KY:Grune & Stratton.
10. 吳珮瑀, P.Y.(2013)。Changhua, Taiwan，國立彰化師範大學輔導與諮商學研究所=National Changhua University of Education。
11. 林明雄（編）,劉時寧（編）, S. L.(ed.),劉慧卿（編）, H. C.(ed.),黃秀惠（編）, H. H.(ed.),張凱理（編）, K. L.(ed.),富樫公一（編）, Koichi(ed.)(2015).精神分析講台：自體心理學等（之十二、之十三）.台北=Taipei City, Taiwan:學富文化= PRO-ED Publishing Company.
12. 寇哈特, H.,許豪沖（譯）, H. C.(trans.)(2002).自體的重建.台北=Taipei City, Taiwan:心理=Psychological Publishing Co., Ltd..
13. 寇哈特, H.,劉時寧（譯）, S. N.(trans.),許豪沖（譯）, H. C.(trans.)(2002).精神分析治癒之道.台北=Taipei City, Taiwan:心理=Psychological Publishing Co., Ltd..
14. 寇哈特, H.,劉慧卿（譯）, H. C.(trans.),林明雄（譯）, M. C.(trans.)(2002).自體的分析：一種系統化處理自戀型人格疾患的精神分析治療.台北=Taipei City, Taiwan:心理=Psychological Publishing Co., Ltd..