Nos Jaime P
Rambla de Catalunya 106, Barcelona, 08008, Spain.
Int J Psychoanal. 2014 Apr;95(2):291-311. doi: 10.1111/1745-8315.12144. Epub 2014 Mar 27.
The author argues that one of the main functions of perverse relatedness is to induce the analyst into becoming the patient's unconscious accomplice in a "perverse pact" against the analytic work aimed at disavowing intolerable aspects of reality. The intense power of collusive induction in perverse relating leads the analyst to participate in transference-countertransference enactments and to the crystallization of a silent and chronic unconscious collusion between the patient and analyst in the analytic field, stagnating the process (bastion; Baranger and Baranger). The author claims that analysis of perverse pathology should not be limited to interpretation of the patient's intrapsychic functioning but should also focus on the information obtained by the analyst through his participation in collusive enactments; the analyst should also take a "second look" at the analytic "field" to detect underlying bastions. The author reviews the main psychoanalytic contributions that have clarified the phenomenon of collusive induction in perverse relating and as an illustration, describes the analysis of a man with a perverse character; in this patient, one of the main functions of his perverse relatedness was to induce the analyst to become an accomplice in his disavowal of his terror of death. The author highlights the influence of death anxiety in the bastions that develop in the treatment of perverse patients.
作者认为，反常关系的主要功能之一是诱使分析师在一种“反常契约”中成为患者的无意识同谋，这种契约是针对旨在否认现实中无法忍受的方面的分析工作的。反常关系中勾结诱导的强大力量导致分析师参与移情 - 反移情的行为，并在分析领域中使患者与分析师之间形成一种沉默且长期的无意识勾结，从而使分析过程停滞不前（堡垒；巴兰热和巴兰热）。作者声称，对反常病理学的分析不应局限于对患者内心心理功能的解释，还应关注分析师通过参与勾结行为所获得的信息；分析师还应对分析“场域”进行“再审视”，以发现潜在的堡垒。作者回顾了主要的精神分析贡献，这些贡献阐明了反常关系中勾结诱导的现象，并举例描述了对一名具有反常性格的男子的分析；在这个患者身上，他反常关系的主要功能之一是诱使分析师成为他否认对死亡恐惧的同谋。作者强调了死亡焦虑在治疗反常患者时所形成的堡垒中的影响。
