Rome, Italy.
J Anal Psychol. 2021 Apr;66(2):259-280. doi: 10.1111/1468-5922.12670.
This paper is based on one idea and built around one clinical experience that helped me to broaden my comprehension of it. The idea, underlying the work of several authors, is that when the analytic field is saturated with primitive and unintegrated mental contents, the analyst's somatic countertransference is a precious indicator of a deep, dissociated form of communication. The clinical experience concerns the difficult elaboration of a complex, multifaceted countertransference that took place during the early stages of the analysis of a sensitive patient who used to communicate in a very dissociated way and that I found hard to contain. This experience, closely described in the article, led me to formulate the clinical idea that the transference field may be made of distinct layers (psychoid, affective, verbal), and that each one of them may potentially convey dissociated, even contrasting bits of information. The corollary of this is that the analyst should be ready to accept contrasting sensations, feelings and thoughts at the same time, as they might be the basic ingredients of a complex reverie. The analyst could find himself/herself in front of his/her own internal unelaborated multiplicity before a symbolic image may emerge to link the scattered pieces of the experience. Nevertheless, the heart of this paper is not about suggesting an idea, but in the sharing of a complex working through, which fostered the birth of a new, more human relational perspective: the capacity of being together in time, in a transitional space where there is neither total separation nor fusion.
本文基于一个想法,并围绕一个临床经验展开,该经验帮助我拓宽了对这个想法的理解。这个想法源于几位作者的工作,即当分析场充满原始且未整合的心理内容时,分析师的躯体反移情是一种深刻的、分离形式的沟通的宝贵指标。临床经验涉及到对一种复杂、多方面的反移情的艰难阐述,这种反移情发生在对一位敏感患者的分析早期,该患者曾经以非常分离的方式进行沟通,我发现很难理解。这种经历在文章中进行了详细描述,使我形成了一个临床观点,即移情场可能由不同的层次(心理、情感、言语)组成,并且它们中的每一个都可能潜在地传达分离的、甚至是对比的信息。这一观点的推论是,分析师应该准备好同时接受对比的感觉、感受和想法,因为它们可能是复杂遐想的基本成分。分析师可能会发现自己在一个象征性的形象出现之前,面对自己内部未被阐述的多样性,这个形象将把经验的碎片联系起来。然而,本文的核心不是提出一个想法,而是分享一个复杂的工作过程,这个过程催生了一个新的、更人性化的关系视角:即在一个过渡空间中共同存在的能力,在这个空间中既没有完全的分离,也没有融合。