Eigen M
Psychoanal Rev. 1975;62(4):601-13.
Global phobic-obsessive states accompanied by androgynous images broke, with treatment, into alternating phobic and obsessive phases characterized by paternal images in the former and maternal images in the latter. The dynamics of the phobic states related to the patient's wish for and dread of the paternal phallus, complicated by the father's death during a transitional anal period. The dynamics of the obsessive states were related to wishes and fears of destructiveness of or by the maternal insides. The maternal insides were also experienced as both dangerous and life-giving to the father. As the patient worked through her paternal and maternal fantasies, especially in the transference, her fears of the outside world (the father) and her need to control the insides of her home (the mother) markedly diminished. Active and passive-responsive tendencies bound up and distorted in her obsessive and phobic states were able to undergo fuller differentiation and development with regard to both the internal maternal and paternal objects and the ego's modes of relating to them.
伴有双性同体形象的全球性恐惧-强迫状态,经治疗后,分解为交替出现的恐惧阶段和强迫阶段,前者以父性形象为特征,后者以母性形象为特征。恐惧状态的动力学与患者对父性阴茎的渴望和恐惧有关,因父亲在肛门过渡期死亡而变得复杂。强迫状态的动力学与对母体内在的破坏或被其破坏的愿望和恐惧有关。母体内在对父亲来说也被体验为既危险又赋予生命。随着患者处理她的父性和母性幻想,尤其是在移情中,她对外部世界(父亲)的恐惧以及她控制自己家内部(母亲)的需求明显减少。在她的强迫和恐惧状态中纠结和扭曲的主动和被动反应倾向,能够在内部的母性和父性客体以及自我与它们的关系模式方面经历更充分的分化和发展。