论作为一种创伤后心理反应形式的分离  

Dissociation as an After-Trauma Psychological Reaction

作　　者：赵冬梅[1] 申荷永[2] 

机构地区：[1]广东金融学院应用心理学系副教授 博士,510521 [2]复旦大学心理分析与中国分析研究中心教授、博士生导师 博士,200433

出　　处：《南京师大学报（社会科学版）》2008年第6期112-116,共5页Journal of Nanjing Normal University(Social Science Edition)

基　　金：教育部人文社会科学重点研究基地重大项目(06JJD88021)

摘　　要：分离指意识与记忆的正常联结过程的隔断,即思想、感情、经历无法整合到意识流,它是一种对创伤经历保持无意识的机制,几乎所有遭受创伤后的个体都会表现出分离症状。目前,分离常被用于心理与行为障碍的诊断上。关于分离产生的病源学,一般研究者考虑的是环境的影响,还有一些病源学模型提出遗传素质影响分离的假设。分离在临床症状上有三个易混淆的概念:分离性体验、分离性症状和分离性障碍。在儿童和青少年精神病治疗中,分离常常被错误诊断,或者处理不当或者分离症状被忽略,恰当的评估对他们的临床治疗非常重要。Dissociation refers to a breakdown of the normal connection between the processes of consciousness and memory ; it has been defined as a lack of integration of thoughts, feelings, and experiences into the stream of consciousness. It was a mechanism to keep people unconscious of their traumatic experience. Those who have traumatic experience almost inevitably show some dissociative symptoms. Therefore, dissociation is now often used to diagnose the mental and behavioral disorders. As for the etiological agent of dissociation, some researchers thought it is engendered by the environmental influences and others advanced the hypothesis that it is decided by heredity. There are three confusing concepts of dissociation about clinical symptoms ： dissociative experience, dissociative symptom, and dissociative disorder. In child and adolescent psychiatry, improper di- agnoses of dissociation are frequently made ： it receives inappropriate treatment or is simply ignored. The proper assessment of the dissociative symptoms, however, is of great importance in their clinical treatment.

关 键 词：分离 分离性体验 分离性障碍 分离性症状 

分 类 号：B842[哲学宗教—基础心理学]