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母婴精神分析治疗中的移情

Transferences in parent-infant psychoanalytic treatments.

作者信息

Salomonsson Bjorn

机构信息

Karolinska Institutet, Department of Women's and Children's Health, SE-17176, Stockholm, Sweden.

出版信息

Int J Psychoanal. 2013 Aug;94(4):767-92. doi: 10.1111/1745-8315.12080. Epub 2013 Jun 12.

Abstract

In parent-infant treatments, babies sometimes exhibit symptoms such as screaming, clinging, and fearful gaze avoidance of the analyst. The paper investigates if such phenomena may be regarded as transference manifestations, and if so, if they appear both in younger and older infants. Based on three case presentations, it is concluded that some babies are capable of forming both brief and enduring transferences. The term "indirect infant transference" refers to when a baby reacts emotionally to the analyst as long as the parent's transference remains unresolved. "Direct transference" refers to when a baby reacts in a non-mediated way to the analyst. The necessary tool of investigation for discovering these phenomena is a psychoanalytic method with an explicit, though not exclusive, focus on the baby. Discerning them in the clinical encounter may help us understand the baby's predicament and when and how to address the baby or the parent. These treatments constitute an empirical field awaiting more extensive clinical and theoretical investigation. Already now, they suggest that transference may be rooted in, and may appear during, very early developmental stages. The paper's positions are compared with those put forward by other parent-infant clinicians.

摘要

在母婴治疗中,婴儿有时会表现出尖叫、黏人以及害怕回避分析师目光等症状。本文探讨了这些现象是否可被视为移情表现,若如此,它们是否在年幼和年长婴儿中均会出现。基于三个病例报告,得出的结论是一些婴儿能够形成短暂和持久的移情。“间接婴儿移情”指的是只要父母的移情未得到解决,婴儿就会对分析师产生情绪反应。“直接移情”指的是婴儿以非中介的方式对分析师做出反应。发现这些现象的必要调查工具是一种明确(但非唯一)聚焦于婴儿的精神分析方法。在临床接触中识别它们可能有助于我们理解婴儿的困境以及何时以及如何处理婴儿或其父母的问题。这些治疗构成了一个有待更广泛临床和理论研究的实证领域。现在就已经表明,移情可能植根于非常早期的发育阶段,并可能在该阶段出现。本文的观点与其他母婴临床医生提出的观点进行了比较。

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