Quinodoz D
Int J Psychoanal. 1990;71 ( Pt 1):53-63.
Vertigo appeared to me in analysis to be an expression of separation anxiety; we can observe the vicissitudes of the object relationship by way of the development of this symptom in the treatment. I identify different forms of vertigo according to the particular stage reached by the patient, from fusion-related vertigo via vertigo about being dropped, vertigo associated with aspiration, vertigo connected with the alternation of prison and escape and vertigo related to the attraction of the void, to competition-related vertigo which appears in an oedipal context. They correspond to different moments in the constitution of relational space: first, the two-dimensional world in which even the void is inconceivable; then, the sensation of the void manifesting a disavowal of the absence of relationship; next, the constitution of a three-dimensional space in which the patient initially feels carried by the object but then discovers that he can carry himself; and, finally, the constitution of the internal space which allows internalization of the feeling of 'buoyancy'.
在精神分析中，我发现眩晕似乎是分离焦虑的一种表现；我们可以通过治疗中这种症状的发展来观察客体关系的变迁。我根据患者所达到的特定阶段，识别出不同形式的眩晕，从与融合相关的眩晕，到跌落感眩晕、与渴望相关的眩晕、与囚禁和逃脱交替相关的眩晕以及与虚空吸引相关的眩晕，再到出现在俄狄浦斯情境中的与竞争相关的眩晕。它们对应于关系空间构成中的不同时刻：首先，是一个二维世界，在其中甚至虚空都是不可想象的；然后，是虚空的感觉，它表现出对关系缺失的否认；接下来，是三维空间的构成，在其中患者最初感觉被客体承载，但随后发现他可以自己承载自己；最后，是内部空间的构成，它允许“漂浮感”的内化。
