Cooper Steven H
J Am Psychoanal Assoc. 2018 Aug;66(4):743-765. doi: 10.1177/0003065118796497.
Play in the context of the patient's sense of absence, loss, and compromised capacities for symbolization can be a link between unsymbolized experience and greater capacities for representation. Winnicott's concepts of play evolved as one of the ways that analysts translate unconscious and unrepresented experience. For many patients who have experienced absence, the analyst and the analytic setting are subjected to the patient's unconscious efforts to destroy and negate meaning and relatedness. For the analyst to be "used" as an object to be destroyed and to survive destruction, he must become a subject in the mind of the patient and in his own mind as analyst within the intersubjective field. The analyst's work with his own resistance is vital to becoming a changing subject and an object available for play in the psychoanalytic process.
在患者存在缺失感、失落感以及象征化能力受损的背景下，玩耍可以成为未被象征化的体验与更强表征能力之间的纽带。温尼科特的玩耍概念是分析师将无意识和未被表征的体验进行转化的方式之一。对于许多经历过缺失的患者而言，分析师和分析环境会受到患者无意识的破坏和否定意义及关联性的努力的影响。要让分析师被“用作”一个可被破坏的对象并在破坏中幸存下来，他必须在患者心中以及在他作为主体间场域中的分析师的自己心中成为一个主体。分析师应对自身阻抗的工作对于在精神分析过程中成为一个不断变化的主体以及一个可供玩耍的对象至关重要。
