Lament Claudia
The Psychoanalytic Institute, New York University Langone School of Medicine, USA.
Psychoanal Study Child. 2008;63:280-91. doi: 10.1080/00797308.2008.11800808.
A transformational process from latency to adolescence is tracked in this essay of a disturbed boy who required an innovative therapeutic action that did not rely on the standard technique of interpretation of defense and conflict. The de-stabilization of the patient's mind-set as a victim was leveraged by the analyst's taking an extreme stance in keeping her own reflections to herself and, instead, assisting the boy's capacity to experience himself as an agent in his own right as he took us both on his journey towards self-discovery. This technical strategy also facilitated the shoring up of fragile self and object boundaries, provided a necessary fillip in the boy's capacity for affect differentiation and integration, and helped to create linkages between self and object representations in the present with hoped-for images of self and other in the future.
本文追踪了一个问题男孩从潜伏期到青春期的转变过程，他需要一种创新的治疗方法，这种方法不依赖于解释防御和冲突的标准技术。分析师采取极端立场，不表露自己的想法，而是帮助男孩将自己视为一个有自主能力的个体，从而利用了患者作为受害者的思维定式的不稳定。在他带领我们踏上自我发现之旅时，分析师协助他做到了这一点。这种技术策略还促进了脆弱的自我和客体边界的巩固，为男孩情感分化和整合的能力提供了必要的推动，并有助于在当下的自我和客体表征与未来期望的自我和他人形象之间建立联系。
