Sugarman A
Int J Psychoanal. 1991;72 ( Pt 1):107-16.
This paper suggests that masochism be understood as an organizing concept which involves drives, defence mechanisms, superego elements, self and object representations as well as environmentally based interpersonal relationships. Vignettes from the analysis of a 3-year-old girl who presented with protomasochistic provocativeness are offered to illustrate the multiple functions served by such behaviour. The opportunity to study such developmental antecedents of masochism demonstrates that such symptoms have intrapsychic meanings even at such an early age. The role of external reality must be considered in regard to its structuring and stimulating influences on intrapsychic factors rather than regarded as the sole cause of masochism. Finally, it is important to realize that masochism has forerunners at all developmental stages rather than to try to reduce its origins to any one developmental epoch.
本文认为，受虐癖应被理解为一个组织性概念，它涉及驱力、防御机制、超我元素、自我和客体表征以及基于环境的人际关系。文中提供了对一名表现出原初受虐挑衅行为的三岁女孩的分析片段，以说明此类行为所发挥的多种功能。研究受虐癖这种发展前因的机会表明，即使在如此年幼的阶段，此类症状也具有心理内部意义。必须考虑外部现实对心理内部因素的结构化和刺激影响所起的作用，而不是将其视为受虐癖的唯一原因。最后，重要的是要认识到，受虐癖在所有发展阶段都有其先兆，而不是试图将其起源归结于任何一个发展时期。
