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重新思考慢性疼痛:精神动力学实践的分离框架

Tim Ho1, Mark Ryan2, Skye Dong3

  • 1Sydney Medical School, Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

Frontiers in psychology
|November 12, 2025
PubMed
概括

慢性疼痛扰乱了自我体验,把意识困在感觉中. 这种"刺激陷"模型将疼痛与解离联系起来,表明精神动力学疗法可以恢复自我凝聚力和代理权.

科学领域:

  • 心理学 心理学 心理学
  • 神经科学是一个神经科学.
  • 精神病学是一个精神病学.

背景情况:

  • 慢性疼痛越来越多地被理解为影响超越感官处理的自我体验.
  • 现有的模型往往忽视了在持续性疼痛中身份和叙事连续性的破坏.

研究的目的:

  • 介绍和探索"刺激陷"的概念,作为慢性疼痛中的离散现象.
  • 将慢性疼痛与精神动力学和解离理论联系起来,将其视为自我整合障碍.
  • 建议这个框架解释生物医学干预的局限性,并强调需要心理动力学方法.

主要方法:

  • 概念分析整合了慢性疼痛,解离和精神动力学理论.
  • 在疼痛中的"刺激陷"和创伤中的离散状态之间进行并行.
  • 检查自我的碎片化及其对应对机制的影响.

主要成果:

  • "刺激陷"描述了意识被困在压倒性的身体感觉中,分裂自我叙述和身份.
  • 慢性疼痛可以导致体现的"疼痛自我"和社会呈现的自我之间的分裂,放大痛苦.
  • 这种碎片化阻碍了适应性应对,并解释了为什么仅仅生物医学治疗通常是不够的.

结论:

关键词:
慢性疼痛是一种慢性疼痛.分离,分离,分离.这是一个体现形式.精神动力学 精神动力学一个创伤的创伤创伤.

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  • 慢性疼痛涉及到自我整合的中断,被概念化为"刺激陷".
  • 专注于叙事修复和自我连贯的精神动态疗法可以通过重新整合"疼痛自我"来有效治疗慢性疼痛.
  • "刺激陷"为慢性疼痛,创伤和分离提供了一个统一的概念,开辟了新的治疗途径.