Renik O
Int J Psychoanal. 1990;71 ( Pt 2):197-204.
Implicit in Freud's definition of transference neurosis is the valuable concept that evolution in the observable form of a patient's transference can be used as a criterion of analytic progress. Problems have arisen because the concept has been misapplied. Freud and those who followed him focused attention on clinical developments that are not in fact indicators that successful analytic work has taken place. It is suggested that transference neurosis be identified in terms of a different set of clinical observations than is usually used. Emphasis is given to evolution in the form of the analyst's activity, as well as the patient's, when analytic progress occurs. Validly applied, the concept of transference neurosis can provide a dependent variable whose appearance or non-appearance enables the testing of hypotheses about the psychoanalysis of neurotic patients.
弗洛伊德对移情神经症的定义中隐含着一个有价值的概念,即患者移情的可观察形式的演变可以用作分析进展的标准。问题之所以出现,是因为这个概念被误用了。弗洛伊德及其追随者将注意力集中在一些临床进展上,而这些进展实际上并非成功的分析工作已经发生的指标。有人建议,应根据与通常所用不同的一组临床观察来识别移情神经症。当分析取得进展时,重点在于分析师活动以及患者活动形式的演变。如果正确应用,移情神经症的概念可以提供一个因变量,其出现或不出现能够对关于神经症患者精神分析的假设进行检验。