Abrams S
Int J Psychoanal. 1987;68 ( Pt 4):441-52.
Clinical analysis can be usefully conceptualized as a process, with a locus, impetus, direction, and sequential steps. The schematic model proposed of such a process places the locus within the patient's mind; derives the impetus from the assimilative tendencies of the psychic apparatus; defines the direction from neurotic mechanisms to new consolidations; and suggests a sequence of four steps. The four steps are the resistance of character, the resistance of the transference consolidation, the resistance of the revived past, and the post-analytic consolidation. A variety of advantages of a careful review of such features are described. Some of the limitations of the model are offered as well.
临床分析可被有效地概念化为一个具有场所、动力、方向和连续步骤的过程。针对这一过程所提出的示意图模型将场所置于患者的思维之中；从心理结构的同化倾向中获取动力；将方向定义为从神经症机制到新的整合；并提出了四个步骤的序列。这四个步骤分别是性格抵抗、移情整合抵抗、复苏过去的抵抗以及分析后整合。文中描述了仔细审视这些特征的种种优点。同时也指出了该模型的一些局限性。
