2020年10月27日火曜日

治療論 英訳 推敲 1

   Dissociative Turnand its Implications in Psychoanalysis

  Historically, dissociation is a topic that Sigmund Freud did not particularly welcome in his psychoanalytic theories. This was against the background of his conflict with Joseph Breuer, Pierre Janet and Sándor Ferenczi. Since then, as Glover (1943) expressed, the term dissociation has a “chequered hisoty”(p.12) in psychoanalysis. However, since Steven Marmer (1980) took “a first step in posing a psychodynamic formulation for multiple personality (p.455), there seems to be a “growing chorus of American thinkers” “who hopes to rescue dissociation from obscurity” in the theory of psychoanalysis (Goldman, 2012. p. 338). The topic of dissociation has been discussed in an increasing number in the psychoanalytic literature. A psychoanalytic research engine (Pepweb) indicates that its number doubles in each decade for the past 40 years (405 between1980~1989, 935 between 1990~1999, 1629 between 2000~2009, and 2461 between 2010~2019). This movement can potentially invite some major reorganization in the psychoanalytic literature, that Sheldon Itzkowitz (2015) referred to as the dissociative turn. So, what is it about his “turn”? In his compacted paper with the same title, Itzkowitz (2015) mentions as follows.

Glover, E. (1943) the concept of dissociation. Int. J.Psychoanal,, 24:7-13.
Marmer, S. (1980) Psychoanalysis of Multiple Personality. Int. J. Pssycho-Anal. 61,439-459.

The actuality of trauma during infancy and early childhood is recognized as a key factor leading to the emergence of dissociative process, the potential dissociative structuring of the mind and the mind being characterized by multiple, discontinuous, centers of conscious. Therapeutic goal in the psychoanalytic work with fragmented patients is to establish communication and understanding between the dissociated self-states (p.145) .

This statement can potentially have enormous implications for the psychoanalytic way of conceptualizing human mind. However, Itzkowitz did not elaborate on any particular ways in which the “turn” should occur and in what direction. In this article, I attempt to elaborate on what Itzkowitz might mean from my own standpoint.

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

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

3.Establishing communication and understanding between the dissociated self-states as the Therapeutic goal.