Kavaler-Adler Susan
Am J Psychoanal. 2004 Mar;64(1):39-76. doi: 10.1023/B:TAJP.0000017991.56175.ea.
This article deals with critical psychic transformation in a schizoid personality disorder that evolves in an object relations psychoanalysis in which "developmental mourning" plays a central role. Within a mourning process that allows for the grieving of loss related to arrested separation-individuation development, the analysand confronts the existential grief of regret that had always unconsciously haunted her. The unconscious guilt related to the existential grief of regret had caused much dissociation of self-experience and affect states. The analysand acknowledges her own part in the destruction of primal and current relationships after the traumatic impact of her early life is understood. This allows her to repair current relationships, both within her internal and external worlds so that she can open to capacities for love and creativity. The analysand's courage to consciously grapple with her regret (loss and guilt combined) allows her to relinquish self-sabotaging character defenses such as contempt and emotional withdrawl. Consequently, a second marriage is salvaged and enriched, and the analysand's relationship with her two children is dramatically improved.
本文探讨了分裂样人格障碍中的关键心理转变,这种转变发生在客体关系精神分析中,其中“发展性哀悼”起着核心作用。在一个允许对与停滞的分离-个体化发展相关的丧失进行哀悼的过程中,分析对象直面一直无意识地困扰着她的存在性遗憾之痛。与存在性遗憾之痛相关的无意识内疚导致了自我体验和情感状态的大量解离。在理解了早年生活的创伤性影响后,分析对象承认了自己在破坏原始关系和当前关系中所起的作用。这使她能够修复内部和外部世界中的当前关系,从而能够开启爱与创造力的能力。分析对象有意识地努力应对自己的遗憾(损失与内疚交织)的勇气,使她能够放弃诸如轻蔑和情感退缩等自我破坏的性格防御。结果,挽救并丰富了第二次婚姻,分析对象与她两个孩子的关系也得到了显著改善。