2020年10月23日金曜日

治療論 英訳 5

 2.     The actuality of trauma during infancy and early childhood.

This second point that Itzkowitz raises might invite again a “turn” in our conceptualization of the mind in psychoanalysis. In Freud’s model, the goal for psychoanalysis was to make unconscious conscious with an assumption that repressed sexual and aggressive drives in the child need to be dealt with. As is well known, it was a result of Freud’s rejection of the actuality of the sexual trauma that a child experiences, in 1897. If we accept and acknowledge the actuality of trauma, the whole basis of Freud’s theory can be overturned. As Howell & Itzkowitz states (2016a), “Even Freud’s most influential theories- for example, the Oedipus complex - can readily and easily be deconstructed in terms of the underlying motifs of the most heinous type of child abuse; infanticide, murder”. (Ross, 1982, 2016a, p8)

However, in reality, actuality of trauma and its existence as a fantasy might not always be clearly distinguished from each other and quite often both of them can co-exist in the patients’ history. In Freud’s case of Dora and Wolfman, both trauma and fantasy are described (Freud, 1905, 1918).

Furthermore, what the issue of the actuality of trauma urge us to consider is the subjective nature of the experience of trauma besides its objective reality. As Howell states “trauma may refer both to an objectively catastrophic event and to something that feels subjectively upsetting” (Howell, 2011,.P74)

In regard to the actuality of trauma, Howell & Izkowitz (2016a) venture into discussing “Is trauma analysis psychoanalysis?” in a straightforwardly. They stress the ubiquity of trauma (“Everywhereness of trauma”) and discuss the “dissociative nature of human mind”(2016b, p.37). They quote Bromberg ”repression enables a person to live with less interference from unacceptable impulses and desires as well as from extremely upsetting and unpleasant memories” (Bromberg, 2006” In contrast, Dissociation occurs when the experience was so overwhelming that it could not be emotionally borne or consciously formulated.

In order to further elaborate on this dissociative nature of self, they propose the idea of “dissociative unconscious”. The dissociative UCS then is characterized by gaps in our CS experience.

Yet the "UCS" experiences in these gaps continue to exist as living experience in that self-state (Howell & Iz, 2016. p.38).

If I summarize what they are saing, actual trauma creates “dissociative unconscious” as a gap of memory due to actual trauma that consciousness cannot hold, but it can be lived by another existence of consciousness. Here, we come back to the issue of one mind versus multiple minds that we discussed in 1.

Bromberg, P (2006) Awakening the dreamer.Clinical Journeys. Mahwah, NJ. Analytic Press.

Howell, EF, Itzkowitz, S. (2016a) Is trauma-analysis psycho-analysis? In Howell, E. F., & Itzkowitz, S. (Eds.). (2016). The Dissociative Mind in Psychoanalysis: Understanding and Working With Trauma. New York, NY: Routledge. (7~19).

Howell, EF, Itzkowitz, S. (2016b) The Everywhereess of trauma and the dissociative structuring of the mind. The Dissociative Mind in Psychoanalysis: Understanding and Working With Trauma. New York, NY: Routledge. (33~43).

Howell, EF, Itzkowitz, S. (2016)

Freud, S. (1918 [1914]) From the History of an Infantile NeurosisSE, 17, pp.1-122.

Howell, E 2011 Understanding and Treating DID.  A Relational Approach. Routledge.