2020年11月7日土曜日

治療論 英訳 推敲の推敲 5

 Trauma and the origin of aggression

Issue of the actuality of trauma is closely related to another important problem: where aggression of the patients comes from? What Freud had in his mind was that the repression of sexual and aggressive drives would cause neurotic symptoms and these drives naturally derive from within. However, if we acknowledge the actuality of trauma, we need to consider the origin of the aggression somewhat differently.

One of the early papers that deal with the origin of aggression was Ferenczi’s seminal paper “Confusion of Tongues” (1936). He discussed the issue of the “identification with the aggressor”. However, what Ferenczi discussed was not exactly the way the victim turns to be another aggressor. He rather described the process of the victim’s identification with the aggressor’s wishes and desires in a masochistic way. He states that the most destructive is the “victim’s introjection of the guilt feelings of the adult” (p.162) and the resultant masochism of the victim (Frankel, 2002). Ferenczi stressed rather the way that the victim hurt him/herself instead of aggressing others.

Frankl explains this nature of Ferenczi’s description of the “identification with the aggressor” as follows. While discussing this topic, Ferenczi mainly talks about “concordant identification” with the aggressor based on Heinrich Racker’s classification of the two types of identification process (Racker, 1968). However, there should be another type of identification: “complementary identification” where the victim identifies with his aggressive nature and becomes the one. In this context, Okano (2018) also discussed this process in his discussion of “shadowy personality”. It is of interest to mention the notion of the “identification with aggressor” proposed by Anna Freud (1936). This notion describes more closely to the way this complementary identification with the aggressor, but in a quite different context.
   Let us look at the way modern analysts conceive the issue of aggression in DID. Dissociative personalities with aggressive nature have been described generally as “the internal persecutor” or “persecutory personality” by various authorities (Kluft, Putnam, Ross, Howell, van der Hart, etc.). Putnam suggests that some persecutor personalities can be recognized as introjects of the original abuser (1989, p.108).Van der Hart et al
2006states that the persecutory part of the personality is at least one type of EPs (emotional part of personalities) and that has some protective role, and recommends clinicians that they pay respect to them (2006). Howell (2011) also stresses defensive purposes when one of these “persecutory personalities” are formed and states: “having persecutory and abuser identity states is like having an internal Al Qaeda or Taliban that punishes you for the slightest infraction of bizarre and arcane rules. It involves being emotionally attached to inner and perhaps outer persecutors, even though you were tortured by them” (2011, p.211). Howell further states that the “system depends for its safety, on the inhibition of expression or the exclusion from consciousness of powerful overwhelming affects, such as terror and rage.” (Howell, 2016, p.211).

According to these experts, DID’s aggression is generally understood as a result of internalizing what was initially external, i.e., the aggressors, that is expressed by the victims in a self-destructive and masochistic way. Here again, we are facing the dual nature of the aggression that DID patients experience. Ferenczi and experts of DID talk mainly the influence of the aggressors when children went thorough trauma. Recognition of the actuality of trauma underscores externality of the aggression. However, by discussing the process of identification and internalization they describe how the aggression becomes a part of the victim’s internal psyche. Perhaps what is not stressed is the way that originally external aggression gets merged with what has been originally inside, which is referred to as the aggressive drive.