ABSTRACT

Drawing upon his work with psychotic and disabled patients, the author explores the often shocking and, at times, nauseating ways in which extremely traumatised individuals will communicate through the evacuation of bodily fluids such as mucus, spittle, urine, menstrual blood and, even, semen and faeces. Richly illustrated with several clinical vignettes, the author proposes a four-stage model, outlining the ways in which each psychotherapist must survive his or her countertransferential reaction of stupefaction and then navigate towards a state of toleration. Subsequently, each practitioner must develop the capacity to formulate an interpretation of the unconscious meaning of bodily communication, while, ultimately, working towards an eventual psychological resolution.

摘要

作者利用他对精神病患者和残疾患者的工作，探索了经常令人震惊，有时甚至令人作呕的方式，其中极度创伤的人会通过排出体液（如粘液、唾液、尿液、经血，甚至，精液和粪便。几个临床护身符丰富的插图，作者提出了一个四阶段模型，概述了每个心理治疗师必须生存他或她的countertransferential反应方式麻木，然后朝的状态导航宽容。随后，每个从业者都必须培养对身体交流的无意识含义进行解释的能力，同时最终努力实现最终的心理分辨率。