ABSTRACT

The paper explores the therapeutic importance of some structural aspects of the body and the consulting room for integrating primal psychophysical spatiality with children suffering from severe developmental deficiency (mainly autism, but not exclusively). The dominant dimension of those children available for the therapist is their non-communicative corporal organisation and behavioural involvement with physical aspects of the consulting room. The paper introduces the idea of ‘an envelope with openings’, seeing it as an innate multidimensional psychophysical schema. Such a structure fits with the child and the therapist’s body, and characterises the physical aspects of the consulting room. This structural resemblance has the potential of functioning as an intuitive pre-reflective common source for therapeutic communication. It might support the therapist’s somatic openness, crystallise into a countertransference-based corporal communication, functioning as a ‘constitutive intervention’, and thus give organised existence to the primal layer of the child’s experience. This type of intervention invites the therapist to use his body and/or some physical aspect of the room to structure fragmented psychophysical elements into this spatial-temporal embodied schema. Clinical case material from two therapies with children with ASD, and one adult therapy, illustrate this potential, gradually revealing the consulting room as a goldmine inhabited by subjective objects, ready for intersubjective meaning.

摘要

本文探讨了身体某些结构方面的治疗重要性，以及将原始心理物理空间性与患有严重发育缺陷（主要是自闭症，但不完全是）的儿童整合起来的咨询室。那些可供治疗师使用的儿童的主要维度是他们的非交流性身体组织和行为参与咨询室的物理方面。该论文介绍了“带开口的信封”的概念，将其视为与生俱来的多维心理物理图式。这样的结构适合孩子和治疗师的身体，并表征咨询室的物理方面。这种结构上的相似性有可能成为治疗交流的直观预反射共同来源。它可能支持治疗师的躯体开放，具体化为基于反移情的身体交流，起到“构成性干预”的作用，从而使儿童体验的原始层有组织地存在。这种类型的干预邀请治疗师使用他的身体和/或房间的某些物理方面来将支离破碎的心理物理元素构建到这种时空体现的图式中。来自 ASD 儿童的两种治疗方法和一种成人治疗方法的临床案例材料说明了这种潜力，逐渐揭示了诊室是一个被主观客体占据的金矿，为主体间意义做好了准备。从而使儿童体验的原始层面有组织地存在。这种类型的干预邀请治疗师使用他的身体和/或房间的某些物理方面来将支离破碎的心理物理元素构建到这种时空体现的图式中。来自 ASD 儿童的两种治疗方法和一种成人治疗方法的临床案例材料说明了这种潜力，逐渐揭示了诊室是一个被主观客体占据的金矿，为主体间意义做好了准备。从而使儿童体验的原始层面有组织地存在。这种类型的干预邀请治疗师使用他的身体和/或房间的某些物理方面来将支离破碎的心理物理元素构建到这种时空体现图式中。来自 ASD 儿童的两种治疗方法和一种成人治疗方法的临床案例材料说明了这种潜力，逐渐揭示了诊室是一个被主观客体占据的金矿，为主体间意义做好了准备。