Szajnberg Nathan M, Massie Henry
Int J Psychoanal. 2003 Dec;84(Pt 6):1569-86. doi: 10.1516/002075703322642494.
In this paper, the authors report on the transition to young adulthood (18-25) in the highest functioning 18 individuals in our cohort (GAF > or = 90) from a prospective longitudinal study of 76 lives followed from birth. These 18 individuals provide as clear a view as possible into the inner lives of people least distorted by psychopathology. This gives us a more crystalline photograph of psychic structure: the precipitant of family, society and psyche itself. Using a standard DSM IV criterion, Global Assessment Functioning (GAF), provides phenomenological homogeneity, but leaves us with heterogeneity of inner life. The 18 individuals had relatively rare drug or alcohol use and less sexual partners. Vocational functioning exceeded intimacy. Four had tumultuous pathways into adulthood. Nine were crossover cases, coming from sub-optimal mothering, with significant variation in gender distribution and intrapsychic structure. The paper discusses factors facilitating and inhibiting development and the nature of memories.
在本文中，作者报告了对我们队列中功能最高的18名个体（18 - 25岁，大体功能评定量表[GAF]≥90）从出生起进行的76例生命前瞻性纵向研究中向成年早期的过渡情况。这18名个体让我们尽可能清晰地了解到受精神病理学影响最小的人的内心生活。这为我们提供了一幅更清晰的心理结构图景：家庭、社会和心理自身的促成因素。使用标准的《精神疾病诊断与统计手册》第四版标准，即大体功能评定量表（GAF），能提供现象学上的同质性，但却让我们面对内心生活的异质性。这18名个体药物或酒精使用相对较少，性伴侣也较少。职业功能超过了亲密关系。其中4人步入成年期的道路动荡不安。9人属于交叉案例，来自养育环境欠佳的家庭，在性别分布和心理结构方面存在显著差异。本文讨论了促进和抑制发展的因素以及记忆的本质。
