I wish to present my work with a patient who discovered she had developmental prosopagnosia(facial blindness) after several years of psychoanalysis. Though as much as 2% of the population may have this, there is little if anything in the psychoanalytic literature about this condition, or it’s effects on development or treatment. I wish to highlight that many patients are unaware they have this condition or their therapist, including myself, don’t consider it.
我想呈报一个我的个案,案主在与我进行了数年精神分析工作之后察觉到自己患有发展性面部失认症[1](脸盲)。尽管有近2%的人口患有这类疾病,但精神分析文献中却很少提到这一点,也很少提到它对发育或者治疗的影响。我想强调的是,很多病人没有觉察到他们有这种情况,甚至他们的治疗师也没有察觉,这其中也包括我。
Freud创造,取自希腊语a-(“没有”)和gnosis(“知识”)。失认的意思是提取知识或再认的失败。(译者注。Michael S. Gazzaniga (2015),《认知神经科学——关于心智的生物学》第三版,北京:中国轻工业出版社,p.179.)
[1] 失认症(agnosia)这个术语正是由SigmundFacial blindness or developmental prosopagnosia (DP), was considered extremely rare in my training and as recently as the 2003 review by Kress and Daum (1). Since then there has been a surge in research findings that have greatly expanded our understanding. It is now estimated that 1.5 to 2% of the population is affected. An example is a 2008 study with Hong Kong medical students by Kennerknecht and Wong(2), showing a 1.9% distribution, demonstrating the universality of this condition.
在我的受训背景中,脸盲或称面部失认症是很少被提及的,这一点正如Kress和Daum在2003年的综述中提到的那样。自那以后便涌现了大量与此相关的研究,这极大地拓展了我们对此的理解。目前的估计是约1.5-2%的人口受此影响。例如香港医学院学生Kennerknecht和Wong 所做的研究显示有1.9%的流行率,这说明这一疾病有一定的普遍性。