Gabbard G O
Menninger Clinic, Topeka, KS 66601-0829.
Am J Psychiatry. 1989 Apr;146(4):444-51. doi: 10.1176/ajp.146.4.444.
Splitting is a concept that is used in a variety of ways to describe several different phenomena commonly seen in hospital treatment. As defined in this paper, it should be reserved for situations in which intrapsychic and interpersonal splitting occur simultaneously, recreating the patient's internal object world in the milieu. Through projective identification, staff members unconsciously identify with projected aspects of the patient and behave accordingly. A clearer conceptual understanding of splitting in the hospital allows for its differentiation from common variants of splitting and for the development of strategies to manage splitting.
分裂是一个概念，在多种情境下被用于描述医院治疗中常见的几种不同现象。如本文所定义，它应保留用于描述内心理和人际分裂同时发生的情况，即在治疗环境中重现患者的内部客体世界。通过投射性认同，工作人员会无意识地认同患者投射出的方面并相应地表现。对医院环境中分裂有更清晰的概念性理解，有助于将其与分裂的常见变体区分开来，并制定应对分裂的策略。
