ABSTRACT Overdose, as a subcategory of self-harm, is under-represented in the psychoanalytic literature in terms of attempts to understand what may underpin it. Given the current prevalence of overdose amongst self-harming adolescents, it seems important to try to understand this from a psychoanalytic perspective. Drawing on clinical material from adolescent patients who overdosed, the author attempts to make sense of how overdose was used by these patients as a means of unconsciously communicating their difficulties. It is suggested that overdose might be understood in the following ways: as a physical enactment of the way in which the patient’s mind is overwhelmed by thoughts, feelings and experiences which it cannot digest or process; as a disguised wish beneath overt self-destructiveness to take in a ‘good feed’; as an enactment of past and present force-feeding, both literally and figuratively, by parents or carers; as an enactment of an internalised death wish from an object which has projected something poisonous into the patient.

中文翻译：

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吞咽太多？青少年用药过量的几点思考

摘要 过量服用，作为自我伤害的一个子类别，在试图理解可能支持它的原因方面在精神分析文献中的代表性不足。鉴于目前在自残青少年中吸毒过量的流行，尝试从精神分析的角度理解这一点似乎很重要。作者借鉴了过量服用青少年患者的临床资料，试图了解这些患者如何使用过量服用来无意识地传达他们的困难。有人建议，过量服用可以通过以下方式来理解： 作为患者的思想被无法消化或处理的思想、感觉和经验所淹没的身体表现；作为在公开自我毁灭之下的一种变相的愿望，以接受“好饲料”；作为父母或照顾者过去和现在强制喂食的行为，无论是字面上还是比喻上；作为向患者投射有毒物质的物体的内化死亡愿望的体现。