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[前俄狄浦斯期病理中诊断判断过程的障碍]

[Disorders of the diagnostic judgment process in pre-oedipal pathologies].

作者信息

Weidenhammer B

机构信息

Klinischen Institut für Psychotherapie und Psychosomatik, Medizinische Einrichtungen der Universität Düsseldorf.

出版信息

Z Psychosom Med Psychoanal. 1987;33(4):353-62.

PMID:3433984
Abstract

The processual and argumentative treatment of diagnostic data that characterizes the development of a psychoanalytic judgment appears to be subject to frequent disturbance in cases of pre-oedipal pathologies. Partly as a result of the strong resistance and refusal patterns of such patients, the psychoanalyst neglects to subject to critical analysis his own expectations of progression and his own standards of judgment. In addition, he often makes an effort to protect himself from the sado-masochistic offers of interaction of these patients. If the transference relationship represents the field on which the spectrum of the neurotic patient's relationships is to be redefined, the point of psychoanalytic treatment in cases of pre-oedipal pathologies is to provide the patient with a "playground" on which the rift between the infantile experience of insatiable drives and needs on the one hand and the world of social action perceived as empty, lifeless, and alien on the other can be played out and overcome.

摘要

构成精神分析判断发展特征的诊断数据的过程性和论证性处理,在俄狄浦斯前期病症的案例中似乎经常受到干扰。部分由于这类患者强烈的抗拒和拒绝模式,精神分析师疏于对自身的进展期望和判断标准进行批判性分析。此外,他常常努力保护自己免受这些患者施虐受虐互动方式的影响。如果移情关系代表了重新界定神经症患者人际关系谱的领域,那么俄狄浦斯前期病症案例的精神分析治疗要点在于为患者提供一个“游乐场”,在这个“游乐场”里,一方面是对无法满足的驱力和需求的婴儿期体验,另一方面是被视为空洞、无生命和陌生的社会行动世界,两者之间的裂痕能够得以展现并被克服。

相似文献

1
[Disorders of the diagnostic judgment process in pre-oedipal pathologies].[前俄狄浦斯期病理中诊断判断过程的障碍]
Z Psychosom Med Psychoanal. 1987;33(4):353-62.
2
The formation and shaping of the Oedipus complex: clinical observations and assumptions.俄狄浦斯情结的形成与塑造:临床观察与假设
Int J Psychoanal. 1982;63(Pt 2):217-27.
3
The developmental context of internalized preoedipal object relations. Clinical applications of Mahler's theory of symbiosis and separation-individuation.内化的前俄狄浦斯期客体关系的发展背景。玛勒共生与分离个体化理论的临床应用。
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4
The emergence of oedipal centrality comments on Michael Feldman's paper 'Common ground: the centrality of the Oedipus complex.俄狄浦斯中心性的出现是对迈克尔·费尔德曼的论文《共同基础:俄狄浦斯情结的中心性》的评论。
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[Objective diagnosis of pre-Oedipal disorders].[俄狄浦斯前期障碍的客观诊断]
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6
Discussion of Ross's "progression from oral to oedipal themes: a defense against the experience of object loss"--an alternative paradigm.对罗斯的《从口欲期到俄狄浦斯期主题的演进:对客体丧失体验的防御》的讨论——一种替代范式。
J Am Acad Psychoanal Dyn Psychiatry. 2007 Summer;35(2):279-85; discussion 284. doi: 10.1521/jaap.2007.35.2.279.
7
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8
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The role of pre-oedipal and oedipal factors in psychic life.前俄狄浦斯期和俄狄浦斯期因素在心理生活中的作用。
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10
'Narrative', now and then: a critical realist approach.“叙事”,时而如此:一种批判现实主义方法。
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