Oremland J D
Int J Psychiatry Med. 1976;7(1):83-94. doi: 10.2190/7jp0-7rh9-qa76-3n9h.
The paper reports on the psychoanalytically-oriented psychotherapy of a very obese woman who, after a rather prolonged therapy, "decided" to reduce. During the weight loss process, significant reactions were noted from her son, daughter, brothers, sisters-in-law, customers, employees, husband, and therapist, which became crucial interferences with the continuing weight loss and specific resistances in the therapy. The identification of and the working through of these resistances significantly increased and consolidated her self-understanding. In that the response to major psychological changes was minimal as compared to the response to her physical change, it is hypothesized that physical change is more basically related to sense of self-continuity and hence more threatening to experience and observe.
该论文报道了一位极度肥胖女性的精神分析取向心理治疗案例。经过较长时间的治疗后，她“决定”减肥。在减肥过程中，她的儿子、女儿、兄弟、嫂子、客户、员工、丈夫和治疗师都出现了显著反应，这些反应成为持续减肥的关键干扰因素以及治疗中的特定阻力。对这些阻力的识别和处理显著增强并巩固了她的自我认知。鉴于与身体变化相比，对重大心理变化的反应极小，据推测，身体变化与自我连续性的感觉更基本相关，因此对体验和观察更具威胁性。
