Knight Rona
Boston University School of Medicine, USA.
Psychoanal Study Child. 2008;63:292-311.
Facilitating change in psychoanalysis requires the analyst and analysand to understand the narrative that the patient has constructed of his life and then activate certain attitudes and actions directed against the finished narrative. The analyst has to not accept the story in order to destabilize psychic organization while also providing a new kind of attachment that the patient can use to construct a new narrative. Co-constructing a new narrative promotes the developmental process by providing more flexible regulatory systems for emotional and cognitive development, facilitating innovative views of people and relationships, and assisting in the organization of emerging structures necessary for progressive development. An analysis of a young man in his twenties is used to demonstrate how narrative change is used to destabilize arrested adolescent development and promote a developmental transformation to early adulthood.
促进精神分析中的改变要求分析师和受分析者理解患者构建的关于其生活的叙事，然后激活针对已完成叙事的某些态度和行动。分析师必须不接受这个故事，以便破坏心理组织的稳定性，同时还要提供一种患者可用于构建新叙事的新型依恋关系。共同构建新叙事通过为情感和认知发展提供更灵活的调节系统、促进对人和人际关系的创新观点以及协助组织渐进发展所需的新兴结构来推动发展进程。对一名二十多岁年轻男子的分析被用来展示叙事改变如何被用于打破停滞的青少年发展状态，并促进向成年早期的发展转变。
