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“一名五岁男孩的恐惧症分析”小汉斯

㊤

作者：小仓清

翻译：徐辕虹

校对：张蓓兰

审稿：张海音

“一名五岁男孩的恐惧症分析”小汉斯

㊤

作者：小仓清

翻译：徐辕虹

校对：张蓓兰

审稿：张海音

精神分析不是一个公正的科学研究，

而是一种治疗措施。

它的实质不是去证明什么，

而只是去改变什么。

——弗洛伊德

疾病的开始

“一名五岁男孩的恐惧症分析”，是弗洛伊德撰写的一篇论文，描述了小汉斯（4岁零9个月大）从1908年1月至5月的治疗过程。

在此之前，汉斯的父亲已经开始记录他的生活，甚至在

他3岁之前。弗洛伊德对3到6岁的孩子如何生活产生了浓厚兴趣，有段时间内，他让朋友和相识的人记下他们对自己孩子日常生活的观察。汉斯的父亲恰好是弗洛伊德的粉丝，就按照弗洛伊德的要求这么做了，也是为什么弗洛伊德在他对这篇论文的介绍中提到了这部分的原因。

弗洛伊德说，汉斯在不到三岁的时候，就已经对他的阴茎展现出了异常浓厚的兴趣，他将阴茎形容为他的“小便”。他曾问他的母亲：“妈妈，你也有个‘小便’吗？”当他撒尿时，他不断地抚弄他的“小便”，尽管他的母亲警告他不要去玩他的阴茎，他依旧玩得乐此不疲。

当他三岁半时，母亲在家里生了妹妹，汉斯发现了一盆血水。他说妹妹的“小便”小而迷人。在德国格蒙登过完暑假后，汉斯已经3岁零9个月大，他梦到了在那儿遇到的小女孩们。他对女孩的兴趣越来越强烈，还说想和她们其中一个睡觉，还说他希望小女孩帮他撒尿。

四岁的时候，他家搬了新房子。他被住在对面的一个小女孩所吸引，进行了一场“远距离的恋爱”。

正如所看到的，弗洛伊德非常详细地记下几个事实和片段。如果我们还记得历史背景，以及我在下面讨论的在当时对科学家有重大影响的他的主张，就很容易猜到这样的原因。

在简介之后，弗洛伊德着手写接下来的一章，题目是：病历与分析。他呈现了他从汉斯父亲那儿收到的信的节选。汉斯父亲写道：“我亲爱的教授，我给你更多些有关汉斯的信息——但这次，我很抱歉地说，是一个病历的材料”。

他指的是汉斯情况的一个报告：“毫无疑问，由于他母亲的心软，基础是通过性过度兴奋而打下的；但我无法详述实际存在的原因。在街上他害怕马会咬他”。

一天早上汉斯醒来，问他母亲：“当我睡着时，我以为你走了，我没有妈妈哄着（抚摸）”。在原德语里，这被写成“ich hab’keine mammi zum schmeicheln”，他的英文翻译是“i had no mummy to coax with（我没有妈妈哄着）”。德语单词“schmeicheln”描写了一条狗或猫如何紧紧搂抱着表达它的情感。这个词用日语的“amaeru”来表示可能是正确。然而相比之下，英文单词“coax（哄）”则离“amaeru”的意思很远，因为它意味着讨好的，欺骗某人，恭维或哄骗某人。

汉斯变得在任何情况下都会害怕离开家，因为怕被马咬。他*害怕大型动物，也包括长颈鹿。他的父亲告诉他，把他的手放在他的“小便”上，表示他害怕被马咬。汉斯明确地否认了这个说法：“但是想做不是做了，做了不是想做”，并解释道他的恐惧与手淫没有直接关系。

弗洛伊德的记述到这里似乎是一个精心安排的“热身”，为了主要讨论作准备。然而，这一点的细节似乎可以粗略地了解汉斯实际上存在的问题的真相。换句话说，关于依恋和amae（amae是日语特有的一个词汇，它的大体含义是指一种类似儿童对母亲撒娇的特殊的依赖感情或行为——译者注），甚至在陷入这个根据他父亲解释的，他母亲将性过度兴奋强加给他而引发的状态之前，汉斯可能已经与他母亲用一种完全不满意的方式进行交流和互动。

汉斯一定经历了这些情绪——孤独，悲伤，难以忍受的忧郁，爆发性的愤怒，破坏性，一种东西在坍塌的知觉，和一种内疚的感觉——可能已经在他的内心旋转。从简介到下一章的开始，描述了汉斯的痴迷，兴趣，关心和焦虑，可能已经被调动起来以某种方式来处理他糟糕的感觉经验。

性兴奋没有发生，因为汉斯被过度溺爱且沐浴着爱。相反，因为他不能被溺爱，性兴奋发生了，并且导致了恐惧症。在怀疑婴儿的性欲是否存在之前，我们是否应该怀疑，为什么它必须以如此多种的形式显示出来？弗洛伊德完全没有意识到这个吗？

我觉得，这可能会分别地引起一场重大的争论。

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日本精神分析 || 一名五岁男孩的恐惧症分析 上篇

日本精神分析 || 一名五岁男孩的恐惧症分析上篇