Goldberg A
Rush Medical College, Chicago, Illinois.
Psychiatr Clin North Am. 1989 Sep;12(3):731-9.
This article is about the self psychological approach to narcissistic personality disorders. Starting from the vantage point of considering the growth and development of the self as crucial to understanding any and all disorders of narcissism, it describes the various forms of self development. These forms are felt to emerge and grow according to patterns seen in the transference of these patients in treatment. The transferences are called selfobject transferences and are based on the use of another person as part of the self, that is, as a part of the structure needed for growth. The three kinds of transferences that have been described are the mirror transference, the idealizing transference, and the twinship transference. These are considered to be expressions of childhood development that has gone awry and thus to be the focus for psychological intervention. Short-term treatment aims for repair of an injured or traumatized self. Long-term treatment or analysis aims for a reorganized self that pursues its own further development. Some factors involving etiology and the role of empathy in treatment are noted in the discussion.
本文是关于自恋型人格障碍的自体心理学方法。从将自体的成长与发展视为理解任何及所有自恋障碍的关键这一有利视角出发，它描述了自体发展的各种形式。这些形式被认为是根据这些患者在治疗中的移情模式而出现并发展的。这些移情被称为自体客体移情，其基础是将他人用作自体的一部分，也就是说，作为成长所需结构的一部分。已描述的三种移情是镜像移情、理想化移情和孪生移情。这些被认为是出错的童年发展的表现，因此是心理干预的焦点。短期治疗旨在修复受损或受创伤的自体。长期治疗或分析旨在实现一个追求自身进一步发展的重组自体。讨论中提到了一些涉及病因学以及共情在治疗中的作用的因素。
