Weidenhammer B
Klinischen Institut für Psychotherapie und Psychosomatik, Medizinische Einrichtungen der Universität Düsseldorf.
Z Psychosom Med Psychoanal. 1987;33(4):353-62.
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.
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。