Our clinical experience in psychoanalytic family therapy with families where one member has anorexic symptoms has shown that the therapy space is often invaded by the deathly dimension, by an absence of family historicity, and by a lack of autonomy. These different elements appear as “voids,” missing pieces of a family puzzle, and reflect a psychic container damaged by the weight of inherited intergenerational trauma. Rather than disappear, these elements are passed down from one generation to the next, their effects weakening the current group whose psychic envelope develops “holes” and becomes “elastic.” This paper will focus on the changes in this psychic container, which shift according to the rhythm of family functioning, oscillating between activation of the deathly toxic function within the group, on the one hand, and tension between the isomorphic and homomorphic mode, on the other. We will show how this clinical identification around the quality of the psychic envelope and its changes is valuable for family therapy.

中文翻译：

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具有厌食症状的家庭中特定心理包络的临床识别

我们对其中一名成员有厌食症状的家庭进行精神分析家庭治疗的临床经验表明，治疗空间经常被死亡维度、家庭历史的缺失和自主权的缺乏所侵入。这些不同的元素表现为“空白”，是家庭拼图中缺失的部分，反映了因遗传的代际创伤的重压而受损的精神容器。这些元素并没有消失，而是代代相传，它们的影响削弱了当前群体的精神包络，使他们的精神包膜出现“洞”并变得“有弹性”。本文将重点关注这个心理容器的变化，它根据家庭功能的节奏而变化，一方面在群体内致命毒性功能的激活之间摇摆，另一方面在同构和同构模式之间的紧张关系之间摇摆。其他。我们将展示这种围绕心理包络的质量及其变化的临床识别对于家庭治疗有何价值。