Abstract

Some people diagnosed with schizophrenia show an alteration of the sense of self. From a psychodynamic perspective, it has been hypothesized they have disorders of the integration of self/other identification/differentiation processes. From a neuroscientific view some with this diagnosis present dysfunctions in neural correlates of representation of self from other (the implicit sensorimotor-based bodily self), and self united with other. In “Sense of self and psychosis, part 1” we discussed scientific literature offering empirical evidence for the psychodynamic clinical observations that patients with diagnoses of psychoses didn't receive adequate early infancy parental care and sufficient affective-sensorial/tactile interactions. Introducing parental care/cutaneous interactions seemed relevant in the analytic treatment of psychoses, as the pioneers of the psychoanalytic approach to psychosis suggested. From this theoretical basis we developed amniotic therapy, which reproduces the affective-tactile interactions of early infancy, insufficient in cases of psychosis, and aims at integrating the processes of differentiation and identification. We present a single case study of an experimental intervention plan including amniotic therapy. Results showed increases in interoception and global functioning, with significant decreases in positive symptoms suggesting that amniotic therapy contributes to increasing the protective strength of self-boundaries and integration of identification/differentiation processes.

摘要

一些被诊断患有精神分裂症的人表现出自我意识的改变。从心理动力学的角度来看，假设他们有自我/其他识别/分化过程整合障碍。从神经科学的角度来看，一些具有这种诊断的人在与他人（隐含的基于感觉运动的身体自我）和自我与他人联合的神经关联方面存在功能障碍。在“自我意识和精神病，第 1 部分”中，我们讨论了科学文献，这些文献为心理动力学临床观察提供了经验证据，即诊断为精神病的患者没有得到足够的婴儿早期父母照顾和足够的情感-感觉/触觉互动。引入父母照顾/皮肤相互作用似乎与精神病的分析治疗相关，正如精神病的精神分析方法的先驱所建议的那样。基于这一理论基础，我们开发了羊膜疗法，它重现了婴儿早期的情感-触觉相互作用，在精神病病例中是不够的，旨在整合分化和识别过程。我们提出了一个实验性干预计划的单个案例研究，包括羊膜腔治疗。结果显示内部感受和整体功能增加，阳性症状显着减少表明羊膜治疗有助于增加自我边界的保护强度和识别/分化过程的整合。它再现了婴儿早期的情感-触觉互动，在精神病病例中是不够的，旨在整合分化和认同的过程。我们提出了一个实验性干预计划的单个案例研究，包括羊膜腔治疗。结果显示内部感受和整体功能增加，阳性症状显着减少表明羊膜治疗有助于增加自我边界的保护强度和识别/分化过程的整合。它再现了婴儿早期的情感-触觉互动，在精神病病例中是不够的，旨在整合分化和认同的过程。我们提出了一个实验性干预计划的单个案例研究，包括羊膜腔治疗。结果显示内部感受和整体功能增加，阳性症状显着减少表明羊膜治疗有助于增加自我边界的保护强度和识别/分化过程的整合。