2018年9月1日土曜日

他者性の問題 12

もうちょっと書いてみる

Psychoanalytic concept of splitting as a source of misunderstanding

First I would like to focus of the notion of splitting, itself an ambiguous term used mainly in psychoanalytic literature and clinical practice, as a source of misunderstanding about the issue of “otherness” in dissociative pathology. Before delving into the topic, I would like to clarify what I mean by “misunderstanding”, which is the patient’s sense if the clinicians grasp the patient’s experience of “otherness” in a skewed way. Going back to the above-mentioned example, if her therapist understands and tells Ms. A that Mr.B’s reaction is not altogether that of the other person, but something that she is repressing, or splitting off, or even “dissociating” from her mind, in many occasion Ms.A would feel quite misunderstood by the therapist, at least based on my clinical experience. “Why don’t you accept me as a person with my own feeling? I’m different from Mr.B !”
This issue of “how much do we recognize parts of personality in DID as 'other' mind" is still highly controversial in the current literature on dissociative disorder. This issue boils down to the discussion of whether dissociative part of mind is something new and original or divided from the main body of mind, awaiting to be integrated.
Among a few authors in the current literature, John O’Neil tackles with this very issue when he discusses the difference between the notion of multiplication and division of mind (O'Neil, 2009. He argues that that division was already seen in the 19th century.

O'Neil, John. A.2009dissociative multiplicity and psychoanalysis. (In) Dell, Paul F. (ed.)  Dissociation and the Dissociative Disorders - DSM-V and beyond., Routledge (Taylor and Francis), pp.287-325