British Psychoanalytic Association, London, UK.
Int J Psychoanal. 2020 Jun;101(3):436-455. doi: 10.1080/00207578.2020.1742070.
The author focuses on enactments in the temporality of the analytic process, taking place around analytic breaks. Being part of the rhythm of psychoanalysis, breaks can be experienced as disruptions, with increased anxiety. Threats to the integrity of the frame provide points of vulnerability and challenge to containment that may result in enactment. This is especially so when related to the patient's unique psychic time, touching on depth of disturbance that is unmetabolised and cannot find verbal expression. Enactments are discussed as representations of unconscious material, to be contained retrospectively by analytic thinking, at specific points of the patient's psychic readiness. Only after an "unthought-out action" on the part of the analyst does he/she become alive to it. Guilt and shame are often experienced following enactments. These feelings can be utilised for understanding the enactment events and their underlying affects, in the intersubjective arena, potentially furthering the analytic process. A clinical illustration is presented of a mental enactment combined with a disruption to the frame around a break, which coalesced with the patient's internal unique timing. Being an expression of the patient's unconscious readiness for transformation, the enactment is understood as occasioned in the conjunction between psychic time and analytic time frame.
作者专注于分析过程的时间性中的施行，这些施行发生在分析中断周围。作为精神分析节奏的一部分，中断可能会被体验为中断，增加焦虑。对框架完整性的威胁为遏制提供了脆弱点和挑战，这可能导致施行。当涉及到患者独特的心理时间时，尤其如此，触及未被代谢且无法用言语表达的干扰深度。施行被讨论为无意识材料的表现，需要在患者的心理准备的特定点上通过分析思维来回顾性地遏制。只有在分析师做出“未经思考的行动”之后，他/她才会意识到这一点。内疚和羞耻感常常在施行后出现。这些感觉可以用于理解实施事件及其潜在的影响，在主体间领域中，可能会进一步推动分析过程。本文呈现了一个心理施行与分析中断时框架中断相结合的临床案例，这与患者内部独特的时间相吻合。作为患者对转化的无意识准备的表达，施行被理解为在心理时间和分析时间框架的结合中产生的。
