2020年10月20日火曜日

治療論 英訳 2

 1.      Mind being characterized by multiple, discontinuous, centers of consciousness.

What Itzkowitz (2015) has in his mind with this “mind being characterized by multiple, discontinuous, centers of consciousness” can be considered as the one observed in people with dissociative identity disorder (DID). In psychoanalytic literature, repression or splitting have been traditionally the terms describing what has been considered the splitting of the mind, without any connotation of multiple presence of consciousnesses. However, historically, polypsychism and double consciousness have been discussed in the history of dynamic psychiatry (Ellenberger, 1970). It is well known that Freud acknowledged the idea of the “double consciousness” and discussed its three types in the “Studies of Hysteria” (1895) with Breuer (Brenner, 2016). Elizabeth Howell outlined four different models of thinking about dissociation which Freud adopted in the course of his work. She then concluded that it was only in the Preliminary Communication (1893) that dissociation in the sense of splitting of consciousness (dissociationism 1 in Howell’s term) was discussed. Since that time, Freud only used this notion in the sense of The splitting of the ego in the process of Defence (Freud, 1938,1961)corresponding to dissociationism 2~4 in Howell’s term.
 It is noteworthy, however, that Freud himself did not really forget this state of “double consciousness” which he revealed later in his work.

Depersonalization leads us on to the extraordinary condition of “double conscience”, which is more correctly described as “split personality.” But all of this is so obscure and has been so little mastered scientifically that I must refrain from talking about it anymore to you. (Freud, 1936, p.245)

Brenner, I. (2016) Psychoactive therapy of dissociative Identity Disorder.  Multiphasic model. (in) Howell & Itzkowitz (ed). The dissociative mind in Psychoanalysis. P211
Freud, S (1936) New Introductory Lectures on Psycho-Analysis and Other Works

Freud, S (1938) The splitting of the ego in the process of Defence. S.E. XXIII.