Kulish N
Detroit Psychiatric Institute, MI 48202.
J Am Acad Psychoanal. 1988 Apr;16(2):167-87. doi: 10.1521/jaap.1.1988.16.2.167.
Precocious ego development is frequently mentioned in psychoanalytic theory as an important determinant of obsessive-compulsive neurosis. Writers such as Anna Freud suggest that an imbalance in the development of ego over drive may lead to obsessional neurosis. However, further examination of the psychoanalytic literature reveals that the nature of this supposed link is not clear. Explanations couched in economic language or in terms of an early hypersensitivity to stimulation are open to theoretical criticism or are unsatisfying. The author suggests that we focus on the effect of precocious ego development on developing object relations. It is suggested that precocity may lead to early disappointment in parental objects. The inter-relationships of disappointment with early identifications, premature sense of autonomy and anal problems are discussed. A case of an obsessive-compulsive adolescent girl is presented to illustrate the role of precocious ego development and superior intelligence in the formation of the symptoms.
在精神分析理论中，早熟的自我发展常被提及是强迫性神经症的一个重要决定因素。像安娜·弗洛伊德这样的作者认为，自我发展超过驱力的不平衡可能导致强迫性神经症。然而，对精神分析文献的进一步研究表明，这种所谓联系的本质并不明确。用经济术语或早期对刺激的过度敏感来解释容易受到理论批评或并不令人满意。作者建议我们关注早熟的自我发展对发展中的客体关系的影响。有人提出，早熟可能导致对父母客体的早期失望。文中讨论了失望与早期认同、过早的自主感和肛门问题之间的相互关系。本文呈现了一个患有强迫性神经症的青春期女孩的案例，以说明早熟的自我发展和超常智力在症状形成中的作用。
