The eroticisation of gaze in the psychoanalytic treatment of a paedophile

R. Hilty
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Abstract

In this article I discuss the clinical case of a patient whose main symptoms included paedophiliac perversions and an obsessive sexual interest in filming and watching himself whilst performing masturbatory sex in front of a webcam, something that I have come to refer to as “self-voyeurism”. Whereas voyeurism has been widely explored in psychoanalytic literature, to the best of my knowledge the psychological meaning of “self-voyeurism” has not. Based on the relational history of my patient, I will discuss that the “self-voyeurism” was an eroticisation of attachment trauma, specifically the experience of an absent mother’s gaze which constellated a threatening infanticidal presence, along with a way to cope with his subsequent traumata, including sexual and physical abuse at the hands of a violent father. I believe that this perverse symptomatology was both a defence structure against attachment and a powerful way of communicating his wish for closeness and intimacy.
恋童癖者精神分析治疗中凝视的情色化
在这篇文章中,我讨论了一个病人的临床案例,他的主要症状包括恋童癖和强迫性的性兴趣,当他在网络摄像头前进行手淫时,他会拍摄和观看自己,我称之为“自我窥阴癖”。虽然偷窥在精神分析文学中被广泛探讨,但据我所知,“自我偷窥”的心理学意义却没有。根据我的病人的关系史,我将讨论“自我偷窥”是一种依恋创伤的情色化,特别是对母亲缺席的凝视的体验,这象征着一种威胁婴儿的存在,以及一种应对他随后创伤的方式,包括暴力父亲的性虐待和身体虐待。我相信这种反常的症状既是一种对抗依恋的防御结构,也是一种传达他对亲密和亲密的愿望的有力方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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