Müller U F, Yahav A L
F. Brüll Community Mental Health Center, Tel-Aviv University Medical School, Israel.
Br J Med Psychol. 1989 Mar;62(1):13-21. doi: 10.1111/j.2044-8341.1989.tb02806.x.
The authors focus on a family therapy, construing the process of change within an object-relations theory integrated with psychodynamic thoughts about Holocaust survivors. Specifically, the authors concentrate on the mutual influence of parents and their children as figures for a two-way identification, and on the potential constructive role the offspring may have in promoting change, in this case reparative change, in the family. A clinical illustration of such a family treated by one of the authors illustrates this aspect. The disturbed intra-familial relationships in the history of each parent led to the development of pathological internalized object relations. This was reinforced by traumatic life-events, especially with the father who was a Holocaust survivor. Serious problems developed in marital life and in relation with the children. Couple therapy alone did not seem successful. The couple who lived in a sado-masochistic collusion for years could not change. Only after including the children in the therapy did the family's relations improve. Confrontation with some positive aspects of the family which the children represent may have been a factor in this change. The couple were able to resynthesize and integrate positive aspects of themselves as represented and reinforced by their children. It seems that reparation through the children helped modify all relations in the family.
作者聚焦于一种家庭治疗方法，在与关于大屠杀幸存者的心理动力学思想相结合的客体关系理论框架内阐释改变的过程。具体而言，作者关注父母及其子女作为双向认同对象的相互影响，以及子女在促进家庭改变（在这种情况下是修复性改变）中可能发挥的潜在建设性作用。其中一位作者对这样一个家庭进行治疗的临床案例说明了这一点。每位父母过往家庭内部关系的紊乱导致了病理性内化客体关系的发展。这又因创伤性生活事件而强化，尤其是对于身为大屠杀幸存者的父亲来说。婚姻生活以及与子女的关系中出现了严重问题。单独的夫妻治疗似乎并不成功。这对多年来处于施虐受虐共谋关系中的夫妻无法改变。只有在将子女纳入治疗后，家庭关系才得以改善。面对子女所代表的家庭的一些积极方面可能是促成这种改变的一个因素。这对夫妻能够重新整合并融入由子女所呈现和强化的自身积极方面。似乎通过子女进行的修复有助于改变家庭中的所有关系。
