McLaughlin J T
Psychoanal Q. 1988 Jul;57(3):370-89.
The patient's fresh perceptions of himself come through mutative work shared with the analyst in the focused intimacy of their interaction. In finding transferential expectancies realized, the patient can experience these as yet different, providing he has the analyst's optimal participation. In this concurrence of crucial differences he can discount and discard the old perceptions that had shaped his psychic reality, and build out of them fresh insights. The analyst's regressive lapses in his best work are a liability inherent in the compromise formations comprising his work ego, built as it is out of the needs and motives of his own transferential past. The stagnation and tensions his regressive transferences contribute to the analytic work produce vivid actualization of the intrapsychic conflicts of both, now intertwined and mutually reinforcing. The analyst's self-analysis at such times can lead to resolving insights about himself that redress the impasse and restore the analytic work both must do.
患者对自身的全新认知,源自于在与分析师互动的专注亲密关系中所共同开展的转变性工作。若能发现移情期待得以实现,只要有分析师的最佳参与,患者就能体验到这些不同之处。在这种关键差异的契合中,他能够摒弃那些塑造其心理现实的旧有认知,并从中构建出新的见解。分析师在其最佳工作状态下出现的退行失误,是其工作自我所包含的妥协形成中固有的一种不利因素,因为这是由他自身移情过去的需求和动机构建而成的。他的退行移情给分析工作带来的停滞和紧张,生动地呈现了双方内心冲突的实际情况,如今这些冲突相互交织且相互强化。此时分析师的自我分析能够带来对自身的解析性洞察,从而打破僵局,恢复双方都必须进行的分析工作。