精神病 285

精神病 285
雅克、拉康

Many clinicians have shown an interest in the psychotic’s prior history.

许多的临床医生对精神病人的先前历史感到興趣。

Helene Deutsch has emphasized a certain as t/that appears to mark the first
stages of development in those who at some moment sink into psychosis.
They never enter the game of signifiers, except through a kind of external
imitation.4 The non-integration of the subject into the register of the signifier
indicates the direction from which the question of the preconditions of psychosis
arises – which is undoubtedly soluble only through analytic investigation.

海伦娜、杜西曾经强调,对于在某个时刻,曾经陷入精神病的那些人们,标示发展的早期阶段,有某个「好像」。他们从来进入能指的遊戏,除了经由某种的外在的模仿。主体没有融入能指的铭记,指示著这个方向。精神病的先前情况的问题,就朝这个方向产生。 无可置疑地,仅有经由精神分析的研究,这个问题才能够被解决。

It sometimes happens that we take prepsychotics into analysis, and we
know what that produces – it produces psychotics. The question of the contraindications
of analysis would not arise if we didn’t all recall some particular
case in our practice, or in the practice of our colleagues, where a full-blown
psychosis – a hallucinatory psychosis, I‘m not speaking of a precipitated
schizophrenia – is triggered during the first analytic sessions in which things
heat up a bit, at which point the poor analyst rapidly becomes the transmitter
who makes known to the analysand [analyst] what he must do and must not
do.

有时恰巧地,我们接受精神病前期的个案分析。我们知道那会产生什么,那会产生精神病。假如在我们的执业,或同事的执业里,有些特殊的个案,我们宣告放弃的话,精神分析的悖论的问题就不会发生。在那些个案,精神病已经完全成形。在精神分析的前几堂,由于事情蕴酿起来,一种妄想症的精神病-会被触发–我并不是谈论突发性的精神分裂—那时,可怜的精神分析家马上会变成传递者,让他必须怎么做及什么不能做,让分析者知道。

Aren’t we here touching on what in our very own experience, without our
having to look any further, lies at the heart of the reasons for the onset of
psychosis? It’s one of the most difficult things that can be proposed to a man,
with which his being in the world doesn’t confront him all that often – it’s
what is called speaking out [frendre la parole), I mean speaking out one’s own
speech, which is quite the opposite of saying yes, yes to the speech of one’s
neighbor. This isn’t necessarily put into words. The clinic shows that, provided
one knows how to discern it at very different levels, it is at precisely
this moment that psychosis breaks out.

我们难道不是碰触到,不必深入寻找,就在我们自己的经验里,引发精神病开始的原因的问题的核心?我们对于一个人建议的最困难的一件事情,并没有人如此经常地让他面临他活在世间的这种的生命实存。所谓的大声说出,我的意思是,说出自己的言说。那个说「是的」完全相反,对于我们的邻居的言谈说「是的」完全相反。这未必是用文字来表达。临床显示:只要我们知道如何在不同的层次觉察,确实就是在这个时刻,精神病会发作。

It’s sometimes a question of a tiny spot of speaking out, whereas previously
the subject had been living in his cocoon like a moth-worm. This is the form
that Clerambault characterized very well under the name of the mental automatism
of old maids. I’m thinking of the marvelous richness characteristic of
his style – how could Cterambault have failed to dwell on the facts? There
was really no reason to pick out these unfortunate beings, forgotten by everybody,
whose existence he describes so well and in whom, at the slightest
provocation, mental automatism emerges from this discourse that had always
remained latent and unexpressed in them.

有时,问题是大声说出的一小点,而先前主体一直就像蚕蛾一样生活在蚕茧里。这就是克列蓝伯清楚地定性,命名为「老仆人的精神病自动机制」。我正想到的,是他的风格的特色是多么千变万化。克列蓝伯对于这些事实,怎会不详加叙述?对于不幸的人们,他们被众人遗弃,我们确实没有理由挑剔。他清楚地描述他们的存在,稍加刺激一下,精神病的自动机制就在他们身上出现。因为这个辞说总是潜伏在他们身上,没有表达出来而已。

If we allow that the failing [dtfaillance] of the subject on encountering real
speech locates his entry, his sliding, into the critical phenomenon, the inaugural
phase, of psychosis, then we can begin to see how this comes to link up
with what we have already expounded.

假如我们承认,主体遭遇的真实的言说时的发作,让他的进入或陷入精神病,当作是严重的现象,当作精神病的开始的时期,那么我们就能够开始看出,这跟我们已经说明过的东西,如何产生关联。

雄伯译
32hsiung@pchome.com.tw
https://springhero.wordpress.com

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