Coen S J
Columbia University Psychoanalytic Center.
J Am Psychoanal Assoc. 1989;37(4):943-64. doi: 10.1177/000306518903700404.
A type of patient is described, who has marked intolerance of taking responsibility for his internal conflicts so as to confront them, analyze them, and change. Defensive repetition in pathological object relations aims to avoid what is wrong within and to engage another so as to protect oneself. Genetic, dynamic, and technical aspects of such defensive, dependent relating are considered. Responsibility for oneself and for what is within oneself is held to be terrifying--more than anyone can bear on his own. How destructiveness has become, and remains, so terrifying is discussed.
描述了一类患者，他们极度不愿为自己的内心冲突负责，从而无法面对、分析并改变这些冲突。病理性客体关系中的防御性重复旨在避免内在的错误，并牵扯他人以保护自己。本文考虑了这种防御性、依赖性关系的发生学、动力学和技术方面的问题。对自己和自己内心世界负责被认为是可怕的——超出了任何人独自承受的能力。文中还讨论了破坏性是如何形成并一直如此可怕的。
