精神分析治療におけるコミュニケーションと現実構成

抄録

　According to psychoanalytic explanation, neurotic symptom is the representation of experiences or wishes repressed in childhood, and analytic treatment is to analyse patient's thoughts and actions that are assumed to derive from the same cause as symptom, and to cure neurosis by making patient recognize "true cause".
　But, there seems discrepancy between analytic expalanation and what analyst really does. When symptom is described in terms of social context, it has paradoxical forms of communication, and shapes a vicious circle with other which reproduces symptom.
　The reason why psychoanlytic treatment is effective on curing symptom is that analyst imposes paradox on patient without deliberate intention. This therapeutic paradox forces patient to change his paradoxical way of communication, which solves the vicious circle that has reproduced symptom.
　Because psychoanalysis takes natural science as its own reference group, analyst assumes his observation = treatment act is objective, and that he can obtain informations about patient unilaterally. But as the medium in analytic situation is personal medium, the informations analyst doesn't intend to send are conveyed to patient, which produces paradox.
　Though his intention isn't realized, analyst's reality is sustained by the psychoanalytic knowledge with the property of self-fulfilling prophecy, and improvement of neurosis by paradox. And besides, when social reality is constructed on analytic perspective intersubjectively, part of experiences patient got in therapeutic situation are excluded or screened from that reality. Ironically, treatment intends to enlarge patient's consciousness by recalling past experience, as a result excludes present experience.