跨越空间和时间的关系自我的体现神经心理动力学：综合叙事综述

摘要(中文译文)

神经科学、心理学和心理治疗领域的广泛探索日益认识到自我性的具身基础和关系基础，强调需要一个跨越发展、精神病理学和治疗性改变的综合框架。本叙述性综述综合了神经科学、具身研究、预测加工、发展科学、现象学和心理动力学理论的实证与理论文献，提出一个具身自我性的多维神经心理动力学框架及其临床意义。其核心贡献在于将个人周围空间（Peripersonal Space, PPS）定位为一种具身的、以行动为导向的界面，充当身体自我意识、自我—他人关系、情感调节和时间连续性的主要发展支架。PPS被提出作为一种动态矩阵，将具身的预测性自我过程与关系经验相联结，从而塑造主观时间性和自传体过程。在该框架内，主观时间通过身体节律、人际同步以及对环境可供性的预测性参与而涌现。这些具身的时间过程逐渐延伸至自传体连续性和心智化能力，并得到大规模脑网络之间协调互动的支持。心理动力学概念——包括抱持、容纳、维度性和象征性转化——在与当代具身和关系神经科学的对话中被重新审视。在临床层面，本文讨论了跨精神病理学条件下的自我性障碍与PPS组织改变、自我证成 disturbances 以及具身时间连续性的关系。心理治疗性改变被概念化为通过共同调节、人际调谐和时间延展的关系参与，在具身、情感和反思维度上实现的逐渐重组。总体而言，这一视角推进了一个连接具身性、时间性、自传体整合和心理治疗的过程导向跨学科框架，同时强调了在神经科学、具身研究和心理动力学交界处开展未来跨学科研究的方向。

Abstract

Extensive explorations in neuroscience, psychology, and psychotherapy increasingly recognized the embodied and relational foundations of selfhood, underscoring the need for an integrated framework spanning development, psychopathology, and therapeutic change. This narrative review synthesizes empirical and theoretical literature across neuroscience, embodiment research, predictive processing, developmental science, phenomenology, and psychodynamic theory, proposing a multidimensional neuropsychodynamic framework of embodied selfhood and its clinical implications. A central contribution is the positioning of Peripersonal Space (PPS) as an embodied action-oriented interface that functions as a primary developmental scaffold for bodily self-consciousness, self-other relations, affect regulation and temporal continuity. PPS is proposed as a dynamic matrix linking embodied predictive self-processes with relational experience, thereby shaping subjective temporality and autobiographical processes. Within this framework, subjective time emerges through bodily rhythms, interpersonal synchronization, and predictive engagement with environmental affordances. These embodied temporal processes gradually extend toward autobiographical continuity and mentalizing capacities, supported by coordinated interactions among large-scale brain networks. Psychodynamic concepts including holding, containment, dimensionality, and symbolic transformation are revisited in dialogue with contemporary embodied and relational neuroscience. Clinically, disturbances of selfhood across psychopathological conditions are discussed in relation to altered PPS organization, disturbances in self-evidencing, and embodied temporal continuity. Psychotherapeutic change is conceptualized as involving gradual reorganization across embodied, affective, and reflective dimensions through co-regulation, interpersonal attunement, and temporally extended relational engagement. Overall, this perspective advances a process-oriented and interdisciplinary framework linking embodiment, temporality, autobiographical integration, and psychotherapy, while highlighting directions for future interdisciplinary research at the interface of neuroscience, embodiment and psychodynamics.

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