Taylor Graeme J
J Am Psychoanal Assoc. 2019 Jun;67(3):425-454. doi: 10.1177/0003065119855374.
Although there is an extensive psychoanalytic literature on perversion, and numerous articles about creativity, few authors have explored relations between creativity and perversion. In particular, the role of childhood trauma and its impact on object relations has not been examined in patients with perversions whose creativity is blocked. In association with preoedipal anxieties and fantasies, childhood trauma can not only contribute to the development of perversion, but can also inhibit or distort the creative process by establishing an inner world characterized by the presence of a threatening internal bad object and the elusiveness of an internal good object. Though it is essential to help these patients establish an identification with the phallic father, an internal good maternal object, in the form of a muse, needs to be retrieved to bring inspiration and reduce the anxieties generated by an internal bad object, thereby facilitating the pursuit of authentic creative work. A detailed case report illustrates how this theoretical perspective guided the treatment approach to a male patient with macrophilia who was struggling to realize his creative potential.
尽管有大量关于性变态的精神分析文献，以及众多关于创造力的文章，但很少有作者探讨创造力与性变态之间的关系。特别是，童年创伤的作用及其对客体关系的影响，在创造力受阻的性变态患者中尚未得到研究。与前俄狄浦斯期焦虑和幻想相关，童年创伤不仅会导致性变态的发展，还会通过建立一个以威胁性的内部坏客体的存在和内部好客体的难以捉摸为特征的内心世界，抑制或扭曲创作过程。虽然帮助这些患者认同阳具期父亲至关重要，但需要找回以缪斯形式存在的内部好母亲客体，以带来灵感并减少由内部坏客体产生的焦虑，从而促进对真实创作工作的追求。一份详细的病例报告说明了这一理论观点如何指导对一名患有巨物癖且难以实现其创作潜力的男性患者的治疗方法。
