Thanatos and Massive Psychic Trauma: the Impact of the Death Instinct on Knowing, Remembering, and Forgetting
Thanatos and Massive Psychic Trauma: the Impact of the Death Instinct on Knowing, Remembering, and Forgetting
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死亡与巨大的精神创伤：死亡本能对认知、记忆和遗忘的影响
DOI：
10.1177/00030651030510021201
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发表时间：
2003
影响因子：
1.2
通讯作者：
S. Lee
中科院分区：
文献类型：
--
作者：
D. Laub;S. Lee
使用以下基本假设来探讨大规模精神创伤与死亡本能概念之间的联系：死亡本能是通过创伤经历释放的，并且在某种意义上具有创伤经历的特征，并且死亡本能的概念对于理解和治疗创伤是不可或缺的。创伤经历的特征，例如共情纽带的消解、无法将经历同化为心理表征和结构、重复创伤经历的倾向以及对记忆和认知的抗拒，被认为是创伤诱发的死亡本能衍生物。最初的重点是个人，如何在创伤幸存者中辨别死亡本能的表现。接下来检查创伤的代际力量；一个临床小插图说明了死亡本能如何作用并传递给幸存者的孩子。最后，考虑创伤的文化或社会方面，着眼于死亡本能衍生物如何渗透到对创伤的文化反应（或未能反应）中。由于创伤导致了深刻的解构和去专注，因此得出结论，死亡本能的概念是临床和理论上的必要性。
The connection between massive psychic trauma and the concept of the death instinct is explored using the basic assumptions that the death instinct is unleashed through and is in a sense characteristic of traumatic experience, and that the concept of the death instinct is indispensable to the understanding and treatment of trauma. Characteristics of traumatic experience, such as dissolution of the empathic bond, failure to assimilate experience into psychic representation and structure, a tendency to repeat traumatic experience, and a resistance to remembering and knowing, are considered as trauma-induced death instinct derivatives. An initial focus is on the individual, on how death instinct manifestations can be discerned in the survivors of trauma. Next the intergenerational force of trauma is examined; a clinical vignette illustrates how the death instinct acts on and is passed on to the children of survivors. Finally, the cultural or societal aspects of trauma are considered, with an eye to how death instinct derivatives permeate cultural responses (or failures to respond) to trauma. Because trauma causes a profound destructuring and decathexis, it is concluded that the concept of the death instinct is a clinical and theoretical necessity.
大屠杀幸存者及其成年后代的创伤后应激障碍特征之间的关系。
DOI：
10.1176/ajp.155.6.841
发表时间：
1998
期刊：
The American journal of psychiatry.
影响因子：
--
作者：
Yehuda,R;Schmeidler,J;GillerJr,EL;Siever,LJ;Binder-Brynes,K
通讯作者：
Binder-Brynes,K