Smith H F
Harvard Medical School, Massachusetts Mental Health Center.
J Am Acad Psychoanal. 1988 Jan;16(1):71-81. doi: 10.1521/jaap.1.1988.16.1.71.
This paper illustrates certain relationships between the concepts of time, reconstruction and psychic reality as they appear in the clinical situation. A case example introduces the literature concerning the difficulty of knowing over time "what actually happened." Arlow's model of the two projectors, which has been used to describe psychic reality, is extended from a developmental point of view. Two further case examples then illustrate how attention to the patient's unique psychic reality can lead to different reconstructive problems and interventions. The two case examples raise certain questions about the nature of early experience and the role of external reality. The conclusion takes a broader view of the relationships between time, reconstruction and psychic reality utilizing two examples from contemporary Western literature.
本文阐述了时间、重构与心理现实这些概念在临床情境中呈现出的特定关系。一个案例引入了关于随着时间推移难以知晓“实际发生了什么”的相关文献。已被用于描述心理现实的阿洛的双投影仪模型，从发展的角度得到了扩展。随后的另外两个案例说明了关注患者独特的心理现实如何引发不同的重构问题及干预措施。这两个案例提出了关于早期经历的本质以及外部现实的作用的某些问题。结论利用当代西方文学中的两个例子，对时间、重构与心理现实之间的关系进行了更广泛的审视。
