Schneider John A
Psychoanalytic Institute of Northern California, San Francisco, USA.
Psychoanal Q. 2007 Oct;76(4):1293-316. doi: 10.1002/j.2167-4086.2007.tb00305.x.
Following a discussion of panic states and their relationship to psychosomatic illness and related disorders, the author presents an extended clinical vignette in which he initially viewed the patient's intense anxiety as a manifestation of repressed conflict and, accordingly, used verbal interpretations as the principal mode of intervention. After this approach did not prove effective, the analyst began to make use of nonverbal interventions consistent with his emerging understanding of the patient's distress as a manifestation of the foreclosure (de M'Uzan 2003) and relegation to the body of undreamable experience (Bion 1962).
在讨论了惊恐状态及其与身心疾病和相关障碍的关系之后,作者呈现了一个详细的临床案例,其中他最初将患者的强烈焦虑视为被压抑冲突的表现,并相应地将言语解释作为主要的干预方式。在这种方法未被证明有效之后,分析师开始采用与他对患者痛苦的新理解相一致的非言语干预措施,即这种痛苦是一种排除(德·穆赞,2003)以及不可梦及的体验向身体的转移(比昂,1962)的表现。