婚姻關係中童年印記的再現：一個精神動力學的家庭問題概念化觀點

The Recurrence of Childhood Memories in Marriage: A Psychodynamic View of Domestic Problem Conceptualizations

許皓宜(Hao-Yi Hsu)

《應用心理研究》 71期 (2019/12) Pp. 5-38

https://doi.org/10.3966/156092512019120071002

摘要

本文以精神動力學觀點，來整合系統取向與精神分析取向的婚姻治療思維，目的在探討童年時期心理狀態如何影響成年後的婚姻關係。研究者認為，精神動力學的婚姻治療觀，不只著重在家庭系統動力的探討，也同時將個人內在系統的覺察視為治療中相當重要的一部份。透過三個夫妻案例的深究，本文整理了影響親密關係深遠的兩項機制：「防禦式的心理分裂」及「無意識的問題連結」，並描述這種童年時期心理機制的運作，如何逐步形成成年後不穩定的婚姻關係。最後，透過長期研究訪談的結果，提出「系統性客體關係」論點，以闡述精神動力學婚姻治療觀的可能性與未來價值。

關鍵字

客體關係 ； 家庭系統 ； 婚姻治療 ； 精神分析 ； 精神動力學

並列摘要

This study aimed to integrate the conceptual paradigms of system-oriented and psychoanalysis-oriented marriage therapy with the purpose of exploring the influences of childhood psychological states on marital relationships after growing up. Previous research has believed that the marriage therapy view of psychodynamics not only stresses family system dynamics but also sees the awareness of individual internal systems as an integral part of therapy. Based on the study of three cases, this study concludes that two mechanisms possess great influence on intimate relationships: ＂defensive psychological splitting＂ and ＂unconscious problem association.＂ The study further elaborates how these psychological mechanisms are formed in childhood and they can gradually form unstable marital relationships after growing up into adulthood. Lastly, according to the results of the follow-up interviews, this study proposes the utilization of ＂systematic object relations theory to illustrate the possibilities and future values of the views of psychodynamic marriage therapy.

並列關鍵字

family system ； marital therapy ； object-relations ； psychoanalysis ； psychodynamics

參考文獻

蔡榮裕（2009）：〈「精神分析取向」與「精神動力取向」心理治療有何差別嗎？〉。取自：http://www.psychspace.com/psych/viewnews-7754。[Tsai, J.-Y. (2009). Are there differences between “psychoanalytical” and “psychodynamic” therapy? Retrieved online.]

蔡榮裕、劉佳昌（2004）：〈客體關係與精神分析：拓樸論、動力論與經濟論觀點〉。《臺灣精神醫學》（臺灣），18卷2期，79-88。Tsai, J-Y. & Liu, C.-C. (2004). Object Relations and psychoanalysis: Topographical, dynamic, and economic points of view. Taiwanese Journal of Psychiatry, 18(2), 79-88.]

Dicks, H. V. (1967). Marital tensions: Clinical students towards a psychoanalytic theory of interaction. London, UK: Routledge and Kegan Paul.

Fairbairn, W. R. D. (1963). Synopsis of an object-relations theory of the personality. The International Journal of Psycho-Analysis, 44, 224-225.

Klein, M. (1928). Early stages of the Oedipus conflict. In M. Klein, Love, guilt and reparation and other works 1921-1945 (pp. 1-53). New York, NY: Free Press.