Busch Fred
Int J Psychoanal. 2011 Oct;92(5):1159-81. doi: 10.1111/j.1745-8315.2010.00375.x. Epub 2011 Feb 23.
At an earlier time our work as analysts was easier. We searched for the repressed in order to make constructions that connected the past to the present symptoms. Making these connections conscious, based upon the continuing influence of the Topographic theory, was thought to be the curative factor in psychoanalysis. Freud (1912, 1914) briefly expressed the importance of working in the present but his main focus remained the importance of reconstructing the past. The importance of working in the present started to be fully articulated approximately 30 years ago, and has become a central part of most views on technique. However, it is the contention of this paper that, while there is general agreement on the necessity of working in the here and now, the understanding of what this means or why it is useful runs along parallel lines rather than leading to a central point. Further, it is my impression there is little agreement on the reasons for interpreting the there and then. The idea of a 'workable here and now' is introduced to capture how the here and now might best include the analysand's readiness to synthesize what is offered, while a theory of the necessity for working in the here and now and the there and then is offered.
在早些时候，我们作为分析师的工作较为轻松。我们探寻被压抑的内容，以便构建起将过去与当前症状联系起来的结构。基于地形学理论的持续影响，使这些联系变得有意识被认为是精神分析中的治愈因素。弗洛伊德（1912年，1914年）简要阐述了在当下工作的重要性，但他的主要关注点仍然是重构过去的重要性。在当下工作的重要性大约在30年前开始得到充分阐述，并已成为大多数技术观点的核心部分。然而，本文的论点是，虽然对于在此时此地工作的必要性存在普遍共识，但对于这意味着什么或为何有用的理解却各行其是，而非指向一个中心点。此外，在我看来，对于解读彼时彼地的原因几乎没有达成共识。引入“可行的此时此地”这一概念，以捕捉此时此地如何能最好地包含受分析者整合所提供内容的意愿，同时还提出了一个关于在此时此地以及彼时彼地工作必要性的理论。
