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一段痛苦之旅。

A journey to pain.

作者信息

Kogan I

出版信息

Int J Psychoanal. 1990;71 ( Pt 4):629-40.

PMID:2074150
Abstract

This paper explored the restoration of the capacity to feel pain and guilt as a result of the emotional experience in analysis. This was illustrated by the first part of an analysis of a woman who lost her four-month-old baby in a car accident. Analysis revealed in this case a fragmented self unable to deal with unbearable feelings of pain and guilt which threatened to annihilate it. She connected the accident to a series of events which appeared to her to be the realization of her aggressive wishes towards primary objects throughout her life. The perception of the impairment and loss of loved objects as due to her destructiveness led to the inability to differentiate self from object, the impairment in the work of mourning, and aggression turned against the self. The analyst's survival of the destructive attack without retaliation enabled the differentiation, a better adaptation to reality and the restoration of the capacity to feel pain and guilt.

摘要

本文探讨了因分析中的情感体验而恢复感受痛苦和内疚的能力。这一点通过对一名在车祸中失去四个月大婴儿的女性的分析的第一部分得以说明。在这个案例中,分析揭示出一个破碎的自我,无法应对威胁要将其毁灭的难以承受的痛苦和内疚感。她将这场事故与一系列在她看来是其一生对主要客体的攻击性愿望得以实现的事件联系起来。将所爱客体的受损和丧失归因于她的破坏性,导致她无法区分自我与客体,哀悼工作受损,以及攻击性转向自身。分析师在遭受破坏性攻击后未进行报复而存活下来,使得区分得以实现,更好地适应现实,并恢复了感受痛苦和内疚的能力。

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