Kernberg O F
New York Hospital-Cornell Medical Center, Westchester Division.
J Am Psychoanal Assoc. 1988;36(4):1005-29. doi: 10.1177/000306518803600407.
In this paper, I propose a general classification of masochistic psychopathology and describe relations between this clinical domain and other types of psychopathology. My main objective is to provide an outline relevant for diagnostic, prognostic, and treatment considerations of masochistic pathology. This includes descriptions of and relations among a wide variety of masochistic phenomena from the depressive-masochistic personality to extreme forms of self-destructiveness. Ego organization, object relations, superego development, narcissistic organization, and polymorphous perverse infantile sexuality are considered as codeterminants of the levels and clinical features of masochistic pathology. Finally, the relations between masochistic pathology and negative therapeutic reactions are reexamined.
在本文中，我提出了一种受虐性精神病理学的一般分类，并描述了这一临床领域与其他类型精神病理学之间的关系。我的主要目标是提供一个与受虐性病理学的诊断、预后和治疗考量相关的概述。这包括对从抑郁性受虐人格到极端形式的自我毁灭等各种各样受虐现象的描述及其相互关系。自我组织、客体关系、超我发展、自恋组织以及多形性倒错的婴儿期性取向被视为受虐性病理学水平和临床特征的共同决定因素。最后，重新审视了受虐性病理学与消极治疗反应之间的关系。
