Quagelli Luca
Centre Médico-Psycho-Pédagogique M. Winburn, Courbevoie, France.
Int J Psychoanal. 2020 Jun;101(3):456-478. doi: 10.1080/00207578.2020.1754836.
Drawing on Winnicott's renowned concept of regression to dependence, the author elaborates on both the creative potential and limitations of this notion, examining some theoretical and clinical contributions from his own psychoanalytic practice with neurotic and psychotic children. First, the author questions and discusses the theoretical difficulties that arise in the conception of regression to dependence. In particular, he analyses the matter of psychic temporality and passivity. Second, the author considers how analysts can receive and foster the regression to dependence, and examines the use of limited physical contact in the treatment of severely disturbed children.
作者借鉴温尼科特著名的退行至依赖概念，阐述了这一概念的创造性潜力和局限性，并审视了他在对神经症和精神病儿童进行精神分析实践中的一些理论和临床贡献。首先，作者对退行至依赖概念中出现的理论难题提出质疑并展开讨论。特别是，他分析了心理时间性和被动性的问题。其次，作者思考分析师如何接纳并促进退行至依赖，还审视了在治疗严重困扰儿童时有限身体接触的运用。
