Perelberg Rosine Jozef
Fellow and Training Analyst British Psychoanalytical Society.
Int J Psychoanal. 2021 Feb;102(1):16-30. doi: 10.1080/00207578.2021.1882260.
This paper describes the psychoanalytic treatment of a woman patient during the first six months of the COVID-19 pandemic, when the setting was profoundly disrupted and was transferred from in-person psychoanalysis to telephone sessions. Drawing on Bleger's formulations on the construction of the analytic frame and on André Green's on the function of the framing structure in the construction and elaboration of phantasy life, the case study shows how, in the absence of the physicality of the setting, the most primitive anxieties about the symbiotic relationship with the mother were expressed and contained in the transference and countertransference in the analysis. The author offers some considerations about the notion of "background of the uncanny", derived from Yolanda Gampel, which draws attention to the challenges when both patient and analyst are inserted into the same traumatic wider context. It is suggested that the production of an art object by the patient during this period represents a step in the elaboration of the work of mourning and towards symbolization.
本文描述了一名女性患者在新冠疫情大流行的头六个月接受精神分析治疗的情况，当时治疗环境受到严重干扰，从面对面的精神分析转为电话咨询。基于布莱格尔关于分析框架构建的理论以及安德烈·格林关于框架结构在幻想生活构建和阐述中的作用的理论，该案例研究展示了在缺乏实体治疗环境的情况下，与母亲共生关系中最原始的焦虑是如何在分析中的移情和反移情中得以表达和容纳的。作者对源自约兰达·甘佩尔的“离奇背景”概念进行了一些思考，该概念提请人们注意患者和分析师都置身于同一创伤性更广泛背景时所面临的挑战。研究表明，在此期间患者创作一件艺术作品代表着在哀悼工作的阐述以及迈向象征化方面迈出了一步。
