Martin-Vallas François
J Anal Psychol. 2002 Oct;47(4):539-54; discussion 563-6. doi: 10.1111/1465-5922.00344.
In the first part of the paper the author presents an account of the analysis of a woman who is psychically extremely disturbed. This clinical presentation focuses on the unfolding of the transference process, and on the countertransference difficulties encountered during the course of the treatment which lasted more than ten years. In the second part of the paper the author proposes a theoretical approach to the breakdown experienced by the patient, and puts forward the hypothesis that there was insufficient differentiation between her internal objects and the archetypes, and that this prevented the development of symbolization. The author proposes the idea of a collapse between internal and external objects, which destroys the space necessary for representation and symbolization that normally arise between the two poles of the object. The account of this transference process between the analyst and the patient is thus seen as the account of the (re)construction of true internal objects, and of the resumption of a symbolic process to make possible the development of subjectivity.
在论文的第一部分,作者讲述了对一位精神极度紊乱女性的分析。这种临床表现聚焦于移情过程的展开,以及在持续十多年的治疗过程中遇到的反移情困难。在论文的第二部分,作者提出了一种针对患者所经历崩溃的理论方法,并提出假说,即她内心客体与原型之间的分化不足,这阻碍了象征化的发展。作者提出了内外客体之间崩溃的观点,这种崩溃破坏了在客体两极之间正常产生的表征和象征化所需的空间。因此,分析师与患者之间这种移情过程的描述被视为对真实内心客体的(重新)构建以及恢复象征过程以使主体性发展成为可能的描述。