Charles M
Int J Psychoanal. 1999 Aug;80 ( Pt 4):783-95. doi: 10.1516/0020757991599043.
The author interweaves pieces from D. W. Winnicott's 'The Piggle: An Account of the Psychoanalytic Treatment of a Little Girl' with her own experiences and case material, to explore how confrontations with existence/non-existence can become terrifying realities that overwhelm the child's resources. In the pages of 'The Piggle', we can see a young child 'playing' with the unfathomable notions of beginnings and endings in the wake of the birth of a sibling, which also heralds the death of the extant mother/child relationship. In the case material these issues are explored from the perspective of an adult who had been unable to resolve them without great loss of self. In both cases, parental failures impeded the child's ability to integrate his or her experiences. The work of Matte-Blanco provides a useful terminology for understanding condensations and equivalences in the material; as affect intensifies, the rules of conventional logic recede, and sameness threatens to annihilate distinctions between good and bad, or self and other. Containing these dichotomies within the analytic setting facilitates their integration, in a movement from the fragmentation of the paranoid-schizoid position towards the reconciliation and renunciation of the depressive position.
作者将D. W. 温尼科特的《小猪:一个小女孩的精神分析治疗记录》中的片段与她自己的经历和案例素材交织在一起,探讨与存在/非存在的对抗如何成为压倒孩子应对能力的可怕现实。在《小猪》的篇章中,我们可以看到一个幼儿在弟弟或妹妹出生后“把玩”着关于开始和结束的难以捉摸的概念,而这也预示着现存的母婴关系的终结。在案例素材中,这些问题是从一位成年人的视角来探讨的,这位成年人若不遭受巨大的自我损耗就无法解决这些问题。在这两个案例中,父母的失职都阻碍了孩子整合自身经历的能力。马泰-布兰科的著作提供了一个有用的术语,用于理解素材中的凝缩和等值现象;随着情感的加剧,传统逻辑规则逐渐退去,同一性有可能消除善恶或自我与他人之间的区别。在分析情境中容纳这些二分法有助于它们的整合,这是一个从偏执-分裂位态的碎片化向抑郁位态的和解与放弃转变的过程。