1966-克莱因派分析师处理投射性认同技术之....docVIP

Affect and phantasy 克莱因派分析师处理投射性认同技术之情感与幻想 作者：Robert Waska 翻译：胡尚伟 Some Kleinians consider affect and the specific phantasy involved in PI as crucial elements to consider when formulating effective PI interpretations. 在对投射性认同进行有效地分析的时候，，一些克莱因派分析师把投射性认同中所包含的情感和幻想当作关键因素考虑。 Herbert Rosenfeld (1952a) wrote of his work with psychoic patients who used PI as a way to grapple with severe paranoid-schizoid anxieties. Techniqucally, he believes in interpreting the primary phantasy associated with the anxiety. He writes of his work with one patient: 赫尔伯特罗森费尔德写文章介绍过他与使用投射性认同努力应付偏执分裂焦虑的病人的工作。从技术上讲，他认为要解释病人额原始幻想及相关的焦虑。他这样写道： I have told him that he was not only afraid of getting something bad inside him, but that he was also afraid of taking good things, the good orange juice and good interpretations, inside since he was afraid that these would make him feel guilty again. When I said this, a kind of shock went through his body; he gave a groan of understanding, and his facial expression changed. By the end of the hour he had emptied the glass of orange juice, the first food or drink he had taken of two days…. (Rosenfeld 1952a:119) 我向他解释说他不仅害怕从他内部取出坏的东西，而且也害怕从中取出好的东西，好的橘子汁和好的解释。因为他担心这会让他感到内疚。当我这么说的时候，他的身体震颤了一下；他发出呻吟声表示理解，他的面部表情也发生了改变。分析结束的时候，他喝光了杯子中的橘子汁，他这两天的主要事物或饮料… In describing his work with another patient, Rosenfeld (1954) states: 关于罗森费尔德与另一个病人的工作，他这样写道： I interpreted that she had put herself into me and that she felt that I was her and had to talk and think for her. I explained to her that this was the reason why she felt so shut in when she came to my house and why she had to escape from me. She was now looking much more comfortable and trusting, and said: “ you are the world’s best person”. I interpreted that because she felt I was so good she wanted to be inside me and have my goodness. Following the interpretations … she was able to extricate herself out of me which lessened her confusion. She then became more aware ofme as an external object and was able to talk …