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弗洛伊德著作中的移情神经症。

The transference neurosis in Freud's writings.

作者信息

Reed G S

机构信息

Institute for Psychoanalytic Training and Research, New York.

出版信息

J Am Psychoanal Assoc. 1990;38(2):423-50. doi: 10.1177/000306519003800207.

Abstract

This paper reviews the evolution of the concept of transference neurosis in Freud's writings. It suggests that the language in which the concept of the transference neurosis is originally expressed by Freud includes an idea of the analyst as aggressively pursuing the analytic cure by waging a solitary battle against the patient's disease. With the representation of the death drive and the larger role accorded to sadism as its external manifestation in Freud's revised drive theory of 1920, the patient becomes the ally; resistance, in the sense of the conservative forces, not disease, in the sense of libidinal conflict, becomes the enemy. It is thus difficult to speak of a transference neurosis in the circumscribed way Freud originally meant it, and he ceased to use the term after 1926 rather than redefine it to fit his broader perspective. In this broader perspective, relative resolution of conflict replaced radical liberation of the patient from disease. That Freud did not redefine the term does not imply that he discarded it, or that we necessarily should. This paper suggests that Freud implied a functional distinction between transference as transforming agent and transference neurosis as result of that transformation. That distinction defines psychoanalytic cure in terms of the understanding of a symbolic transformation which is, through the transference neurosis, reexperienced as part of the psychoanalytic process.

摘要

本文回顾了弗洛伊德著作中移情神经症概念的演变。研究表明,弗洛伊德最初表达移情神经症概念的语言中包含一种观点,即分析师通过与患者的疾病进行一场孤独的战斗来积极追求分析性治愈。随着1920年弗洛伊德修订的驱力理论中死亡驱力的提出以及施虐狂作为其外在表现所扮演的更重要角色,患者成为了盟友;从保守力量的意义上来说,抵抗而非从力比多冲突的意义上来说的疾病,成为了敌人。因此,很难再按照弗洛伊德最初所指的那种限定方式来谈论移情神经症,并且他在1926年之后不再使用这个术语,而是没有重新定义它以符合他更广阔的视角。在这个更广阔的视角中,冲突的相对解决取代了患者从疾病中彻底解放。弗洛伊德没有重新定义这个术语并不意味着他摒弃了它,或者我们就必然应该摒弃它。本文认为,弗洛伊德暗示了作为转化动因的移情和作为该转化结果的移情神经症之间的功能区别。这种区别从对一种象征性转化的理解角度定义了精神分析治愈,而这种转化通过移情神经症在精神分析过程中被重新体验。

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