Ogden Thomas H
306 Laurel St, San Francisco, CA 94118, USA.
Int J Psychoanal. 2004 Aug;85(Pt 4):857-77. doi: 10.1516/0020757041557575.
It is the art of psychoanalysis in the making, a process inventing itself as it goes, that is the subject of this paper. The author articulates succinctly how he conceives of psychoanalysis, and offers a detailed clinical illustration. He suggests that each analysand unconsciously (and ambivalently) is seeking help in dreaming his 'night terrors' (his undreamt and undreamable dreams) and his 'nightmares' (his dreams that are interrupted when the pain of the emotional experience being dreamt exceeds his capacity for dreaming). Undreamable dreams are understood as manifestations of psychotic and psychically foreclosed aspects of the personality; interrupted dreams are viewed as reflections of neurotic and other non-psychotic parts of the personality. The analyst's task is to generate conditions that may allow the analysand--with the analyst's participation--to dream the patient's previously undreamable and interrupted dreams. A significant part of the analyst's participation in the patient's dreaming takes the form of the analyst's reverie experience. In the course of this conjoint work of dreaming in the analytic setting, the analyst may get to know the analysand sufficiently well for the analyst to be able to say something that is true to what is occurring at an unconscious level in the analytic relationship. The analyst's use of language contributes significantly to the possibility that the patient will be able to make use of what the analyst has said for purposes of dreaming his own experience, thereby dreaming himself more fully into existence.
本文的主题是精神分析形成过程中的艺术,这是一个在发展过程中不断自我创造的过程。作者简洁地阐述了他对精神分析的理解,并提供了一个详细的临床例证。他认为,每个分析对象都在无意识地(且矛盾地)寻求帮助,以梦到自己的“夜惊”(未被梦到且无法被梦到的梦)和“噩梦”(当所梦到的情感体验的痛苦超过其做梦能力时被打断的梦)。无法被梦到的梦被理解为个性中精神病性和心理上被排除的方面的表现;被打断的梦被视为个性中神经症和其他非精神病性部分的反映。分析师的任务是创造条件,使分析对象——在分析师的参与下——能够梦到患者之前无法被梦到和被打断的梦。分析师参与患者做梦的一个重要部分采取分析师的幻想体验的形式。在分析情境中共同做梦的过程中,分析师可能会充分了解分析对象,从而能够说出一些符合分析关系中无意识层面正在发生之事的真话。分析师对语言的运用极大地有助于患者能够利用分析师所说的话来梦到自己的经历,从而更充分地梦到自己的存在。