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The crucial role of Nachträglichkeit/après-coup (N/AC) in psychoanalytic psychology has been afforded lower consideration in the scientific literature than other relevant psychoanalytic constructs. No systematic reviews have been provided on this construct. We aimed at investigating the many facets of the psychoanalytic significance N/AC as addressed in the scientific literature, outlining its potential developments. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we selected peer-reviewed, indexed articles based on the psychoanalytic concept of N/AC in the scientific literature. The keywords we entered in Pubmed, Web of Science, Scopus, and Psychoanalytic Electronic Publishing (PEP) were: Nachträglichkeit, après-coup, and psych*. Studies published between the 1950s and 2022 were considered. The initial database search yielded 600 results. After duplicates removal, 414 contributions were screened, of which 35 articles met the inclusion criteria. A metasynthesis of the latter revealed that N/AC is crucially involved in four different-albeit partially overlapping-domains, where N/AC respectively features as (a) a metapsychological construct explicative of the retroactive constitution of experience, (b) a cornerstone for the emergence of traumatic psychopathology, (c) a resource of the therapeutic process in clinical settings, and (d) a core facet of meaning-making processes involved in the constitution of memory. As a nonlinear, multidimensional process, N/AC is still recognized as a crucial concept in the scientific literature. Yet, no attempts were found, which investigated the phenomenon from an empirical standpoint. Based on the theoretical cues provided in the selected literature, future explorations of N/AC in terms of meaning-making processes and neuroscientific perspectives are suggested.
与其他相关的精神分析观念相比,Nachträglichkeit 和après-coup(N/AC)在精神分析心理学中的关键作用在科学文献中被考虑得较少。没有关于这一观念的系统评价。我们旨在调查科学文献中涉及的N/AC的精神分析意义的许多方面,概述其潜在的发展。根据PRISMA指南,我们根据科学文献中N/AC的精神分析概念选择了同行评审的索引文章。我们在 PubMed、科学网、Scopus和 PEP 中输入的关键词是:Nachträglichkeit、après-coup和psych*。考虑了1950年代至2022年间发表的研究。最初的数据库搜索产生了600个结果。删除重复项后,筛选出414篇投稿,其中35篇符合收录标准。后者的综合集成表明,N/ AC主要涉及四个不同的--尽管部分重叠--领域,其中N/AC分别具有以下特征:(1)追溯体验结构的元心理学的解释观念,(2)创伤性精神病理学出现的基石,(3)临床设置中治疗过程的资源,以及(4)意义建构的基本方面,记忆进程 。作为一个非线性的多维过程,N/AC在科学文献中仍然被认为是一个关键概念。然而,还没有发现任何从经验角度研究这一现象的尝试。基于所选文献中提供的理论线索,从意义建构过程和神经科学角度提出了对N/AC的未来探索。