ABSTRACT The relevance of a patient’s experience of physical punishment in childhood may be obscured and difficult to acknowledge for both patient and analyst. This paper illustrates my own struggle with the issue by presenting excerpts of my work with an adult analytic patient, children in a mental health clinic, and PTSD patients in the Veterans Administration system. In the discussion that follows I demonstrate how the psychoanalytic concept of disavowal can be useful in expanding our ability to engage in meaningful discussions with our patients regarding this issue.

中文翻译：

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摘要患者在童年时期遭受体罚经历的相关性可能会被模糊，患者和分析人员都难以理解。本文通过向成人分析患者，心理健康诊所的孩子以及退伍军人管理局系统中的PTSD患者介绍我的工作摘录，以此说明我在这一问题上的挣扎。在随后的讨论中，我演示了拒绝的心理分析概念如何有助于扩大我们与患者就此问题进行有意义的讨论的能力。