Manzano J, Palacio Espasa F, Zilkha N
Int J Psychoanal. 1999 Jun;80 ( Pt 3):465-76. doi: 10.1516/0020757991598855.
The authors begin by pointing out that Freud always considered parent-child relations in terms of the child's psychic development and took little account of the parents' experience of the relationship and its psychic effects on them. They recall Freud's distinction between the anaclitic and narcissistic modes of relationship and show how these are unconsciously embodied and enacted in varying proportions in the cases observed in their own clinical practice of therapeutic consultations with parents and young children. After a review of the relevant psychoanalytic literature, the authors present their concept of the narcissistic scenarios of parenthood, which include parental projection on to the child, parental counter-identification, a specific aim and a relational dynamic that is acted out. Depending on the individual situation, the effects may help to structure the developing psyche or, if the narcissistic element is excessive, they may be pathological. The authors consider the literature on the application of psychoanalysis to therapeutic interventions with parents and children, stressing the technical importance of establishing a therapeutic focus. These ideas are illustrated by a detailed case history showing the interaction between a mother and a 4-year-old girl and how it was modified by a short therapy. The differences between interpretation in this situation and in the classical psychoanalytic setting are explained, and the paper ends with some comments on the transmission of psychic elements from generation to generation.
作者开篇指出,弗洛伊德总是从儿童心理发展的角度来考量亲子关系,而很少考虑父母对这种关系的体验及其对他们心理的影响。他们回顾了弗洛伊德关于依恋型和自恋型关系模式的区分,并展示了在他们自己与父母和幼儿进行治疗咨询的临床实践中所观察到的案例里,这些模式是如何以不同比例无意识地体现和呈现出来的。在回顾了相关精神分析文献之后,作者提出了他们关于为人父母的自恋情境的概念,其中包括父母对孩子的投射、父母的反向认同、一个特定目标以及一种呈现出来的关系动态。根据个体情况,这些影响可能有助于构建发展中的心理,或者,如果自恋元素过多,它们可能是病理性的。作者考量了将精神分析应用于对父母和孩子的治疗干预的文献,强调了确立治疗重点的技术重要性。通过一个详细的病例史来说明这些观点,该病例展示了一位母亲和一个4岁女孩之间的互动,以及这种互动是如何通过短期治疗得到改善的。解释了这种情况下的解释与经典精神分析环境中的解释之间的差异,文章最后对心理元素代代相传进行了一些评论。