Kradin Richard
Boston.
J Anal Psychol. 2014 Jun;59(3):346-365. doi: 10.1111/1468-5922.12082.
In his analyses of obsessional patients, Sigmund Freud suggested that they suffered from intrusive cognitions and compulsive activities. Early psychoanalysts delineated the phenomenology of obsessionality, but did not differentiate what is currently termed obsessive-compulsive disorder from obsessional personality. However, it was widely recognized that the success of psychoanalysis with obsessional patients was limited due to rigid characterological defences and transference resistances. The present paper examines the case of a middle-aged obsessional academic who had been treated for nearly twenty years in a 'classical' Freudian psychoanalysis prior to entering Jungian analysis. It examines how persistent focus on Oedipal conflicts undesirably reinforced the transference resistance in this obsessional man, and suggests that focusing instead on diminishing the harshness of the super-ego via the therapeutic alliance, and fostering faith in the salutary aspects of unconscious processing has led to salutary results in this case. The biblical book of Job is adopted as ancient instruction in how to address the scrupulosity and addictive mental structuring of obsessionality in analysis.
在对强迫观念患者的分析中,西格蒙德·弗洛伊德认为他们患有侵入性认知和强迫行为。早期精神分析学家描述了强迫观念的现象学,但并未将当前所称的强迫症与强迫型人格区分开来。然而,人们普遍认识到,由于僵化的性格防御和移情阻抗,对强迫观念患者进行精神分析的成功率有限。本文考察了一位中年强迫观念学者的案例,他在接受荣格分析之前,曾在“经典”的弗洛伊德精神分析中接受了近二十年的治疗。本文探讨了在这位强迫观念患者中,持续关注俄狄浦斯冲突如何不适当地强化了移情阻抗,并提出通过治疗联盟专注于减轻超我的严苛性,以及培养对无意识加工有益方面的信念,在这个案例中已产生了有益的结果。《圣经》中的《约伯记》被用作关于如何在分析中应对强迫观念的过度谨慎和成瘾性心理结构的古老教诲。