Morgenstern A
Int J Psychoanal Psychother. 1975;4:476-94.
This paper provides an experiential view of a borderline syndrome and its psychotherapy. In a letter to her therapist a gifted patient speaks of the symptoms and treatment of her illness. This provides the basis for studying the precipitous transference relationships in borderline patients and the urgent need in these patients for clarity and dependability from their therapists. Common fears of being "set adrift" by psychotherapy are contrasted to the characteristic tenacity of the patient-therapist bond. A review of the patient's life allows the reader to evaluate the clinical applicability of her insights. The letter's multiple communicative functions illustrate some of the qualities of the object relations sought by borderline personalities, and stress is placed upon the sublimatory aspect of such letters and the prognostic importance of the capacities for sublimation.
本文提供了一种关于边缘性综合征及其心理治疗的经验性观点。一位有天赋的患者在给她治疗师的一封信中谈到了她疾病的症状和治疗情况。这为研究边缘性患者中急剧的移情关系以及这些患者对治疗师清晰性和可靠性的迫切需求提供了基础。将心理治疗中常见的被“抛弃”恐惧与患者 - 治疗师关系的典型韧性进行了对比。对患者生活的回顾使读者能够评估她见解的临床适用性。这封信的多种交流功能说明了边缘性人格所寻求的客体关系的一些特质，并强调了此类信件的升华方面以及升华能力的预后重要性。
