Kris A O
Int J Psychoanal. 1988;69 ( Pt 3):431-41.
The concept of two kinds of mental conflicts, convergent and divergent, is applied to an important aspect of the therapeutic action of psychoanalysis: the way in which the relationship between pre-oedipal and oedipal components of neurosis is dealt with. The concepts of convergent and divergent conflicts and their relationship to an operational formulation of the psychoanalytic procedure, the method of free association, are presented briefly. The two-conflict model obviates the need either to abandon the concept of conflict or to assign an early developmental origin prematurely to some of the patient's problems. Awareness of the two kinds of conflicts, with their different forms of opposition, resistances, patterns of resolution, and kinds of insight, permits the analyst to maintain a consistent focus on interpretation and mastery of resistance as the first aim of analytic work. These concepts are illustrated in an extensive case example from an analysis. A consideration of manifest bisexuality and its analytic treatment as an example of an additional kind of clinical situation--problems of choice--concludes the paper.
两种心理冲突——趋同型和发散型——的概念被应用于精神分析治疗作用的一个重要方面:即处理神经症前俄狄浦斯期和俄狄浦斯期成分之间关系的方式。简要介绍了趋同型和发散型冲突的概念及其与精神分析程序(自由联想方法)操作形式的关系。双冲突模型避免了要么放弃冲突概念,要么过早地将患者的某些问题归因于早期发展起源的必要性。认识到这两种冲突及其不同形式的对立、抵抗、解决模式和洞察类型,使分析师能够始终如一地专注于将解释和克服抵抗作为分析工作的首要目标。这些概念在一个分析的详细案例中得到了说明。本文最后以明显的双性恋及其分析治疗为例,探讨了另一种临床情况——选择问题。