Salomonsson Björn
Karolinska Institutet, Department of Woman and Child Health, Child and Adolescent Psychiatric Unit, SE-171 76 Stockholm, Sweden.
Int J Psychoanal. 2007 Feb;88(Pt 1):127-46. doi: 10.1516/04p3-fuer-0u41-lln8.
Infants suffer to a considerable degree from disturbances in nursing, sleep, mood, and attachment. Psychotherapeutic methods are increasingly used to help them. According to case reports, psychoanalytic work with infants and mothers has shown deep-reaching and often surprisingly rapid results, both in symptom reduction and in improved relations between mother and child. The clinical urgency of the method makes it important to study its results and theoretical underpinnings. Among the theoretical issues often raised in discussions on this modified form of psychoanalysis, those addressing the nature of communication between analyst, baby, and the mother are the most frequent. For example, how and what does an infant understand when the analyst interprets to her? What does the analyst understand of the infant's communication? These issues are addressed by investigating the infant's tools for understanding linguistic and emotional communication, and by providing a semiotic framework for describing the communication between the three participants in the analytic setting. The paper also investigates problems with the traditional ways of using the concept of symbolization within psychoanalytic theory. The theoretical investigation is illustrated by two brief vignettes from psychoanalytic work with an 8 month-old girl and her mother.
婴儿在哺乳、睡眠、情绪和依恋方面受到相当程度的干扰。心理治疗方法越来越多地被用于帮助他们。根据病例报告，对婴儿和母亲进行的精神分析工作在减轻症状以及改善母婴关系方面都显示出深远且往往惊人的快速效果。该方法的临床紧迫性使得研究其结果和理论基础变得很重要。在关于这种改良形式精神分析的讨论中经常提出的理论问题中，那些涉及分析师、婴儿和母亲之间沟通本质的问题最为常见。例如，当分析师向婴儿进行解释时，婴儿如何理解以及理解什么？分析师如何理解婴儿的沟通？通过研究婴儿理解语言和情感沟通的工具，并提供一个符号学框架来描述分析情境中三方参与者之间的沟通，可以解决这些问题。本文还探讨了在精神分析理论中传统使用象征化概念的方式存在的问题。理论研究通过两个来自对一名8个月大女孩及其母亲进行精神分析工作的简短案例来说明。
