Nissim Momigliano L
Int J Psychoanal. 1991;72 ( Pt 2):287-96.
The clinical case of a female patient who seemed to be demanding from the analyst changes in her usual technique but in reality wanted her to modify her emotional attitude induced the author to confront the subject of anxiety about change felt to be 'catastrophic', considering it on this occasion from the point of view of the analyst. It is inevitable that the analyst too will initially resort to his or her old defences, succeeding only later by a great deal of hard work in transforming them and putting them in the service of the analysis itself. The main subject of the paper is accompanied by a brief historical digression on the profound changes that have taken place in the years since Freud's death in the way the psychoanalytical movement as a whole thinks of and practises psychoanalysis, culminating in the 'pluralism' mentioned by Wallerstein, and by a personal example of the path travelled day after day by every analyst in his or her consulting room; the overall result is to hearten and encourage us about the future development of our work.
一位女性患者的临床案例促使作者探讨了被认为是“灾难性”的对改变的焦虑这一主题。该患者表面上要求分析师改变其惯用技术，而实际上是希望分析师改变其情感态度。在此，作者从分析师的角度对此进行了思考。分析师最初不可避免地也会诉诸其旧有的防御机制，只有在经过大量艰苦努力之后，才会成功地对这些防御机制进行转变，并使其服务于分析本身。本文的主要主题还伴随着一段简短的历史回顾，讲述了自弗洛伊德去世多年以来，精神分析运动在整体思考和实践精神分析方式上所发生的深刻变化，这种变化最终导致了沃勒斯坦所提及的“多元主义”。此外，文中还列举了一个个人实例，展现了每位分析师在其咨询室日复一日的工作历程；总体结果是让我们对工作的未来发展感到振奋并受到鼓舞。
