Maldonado Jorge Luis
Buenos Aires, Argentina.
Int J Psychoanal. 2006 Oct;87(Pt 5):1239-57. doi: 10.1516/4vun-32cv-bpw9-8qbf.
The author deals with the difficulties in combining the concepts of trauma and phantasy. He evaluates Freudian observations relating to chance and trauma. He considers traumatic effects of chance in relation to the rupture of a narcissistic phantasy of invulnerability. The narrating of traumatic events may awaken in the analyst tendencies to repeat the aggression of these traumatic events towards the subject. The accusatory interpretation can be one of the means by which this repetition is established. The author explores a type of trauma which is essentially related to the disturbance of the structure which contains the ideals of the subject. This disturbance is a consequence of disillusionment resulting from the loss of an object who was the depository of these ideals. Trauma generates a state of mourning for lost ideals. The author describes traumatic events which occurred in a patient's life at puberty; paradoxical behaviours in the patient's parents caused the patient to have new traumas. The reluctance to explore the derivatives of the unconscious, and to investigate possible meaning in symbols, was a central problem in this patient's analysis. The author discusses disturbances in symbolization, and he examines the subject of projective identifications that were received by patients from their primary objects.
作者探讨了将创伤与幻想概念相结合时所面临的困难。他评估了弗洛伊德关于偶然与创伤的观察。他考虑了偶然的创伤性影响与自恋的刀枪不入幻想的破裂之间的关系。讲述创伤性事件可能会在分析师身上唤起重复这些创伤性事件对主体的攻击的倾向。指责性解释可能是确立这种重复的手段之一。作者探究了一种本质上与包含主体理想的结构的扰乱相关的创伤类型。这种扰乱是由于失去作为这些理想寄托的客体而产生的幻灭的结果。创伤引发了对失去的理想的哀悼状态。作者描述了患者青春期生活中发生的创伤性事件；患者父母的矛盾行为导致患者遭受新的创伤。不愿探索无意识的衍生物以及调查符号中可能的意义，是该患者分析中的一个核心问题。作者讨论了符号化的扰乱，并审视了患者从其主要客体那里接收到的投射性认同的问题。
