Procci W R
J Am Acad Psychoanal. 1987 Jan;15(1):51-66. doi: 10.1521/jaap.1.1987.15.1.51.
This case study of a woman with moral masochism focuses upon her characteristic defenses. Particular attention is paid to her utilization of a variant of identification. This patient's mother was a strict, harsh disciplinarian who insisted upon total compliance as a condition for her approval and love. This roused considerable anger and resentment in this patient but also intense anxiety, lest she lose her mother's love. To deal with this, she adopted an ingenious strategy. She established a veneer of pseudocompliance, following her mother's dictates to the letter. She incorporated many of her severe attitudes. She took these to an extreme, in effect caricaturing her. Through this process of exaggerating these bits of maternal behavior she made herself miserable, i.e., she became anhedonic, anorectic, and anorgasmic except via painful anal intercourse. This was a most useful compromise formation that enabled her to appear as her mother's ideal child and, therefore, retain her love. At the same time, by achieving a state of misery through following her mother's orders, she exposed her as ridiculous, and thus covertly discharged considerable aggression.
这个关于患有道德受虐癖女性的案例研究聚焦于她的典型防御机制。特别关注了她对一种认同变体的运用。这位患者的母亲是一个严厉、苛刻的纪律执行者，坚持要求完全服从才给予认可和爱。这在患者心中激起了相当大的愤怒和怨恨，但同时也引发了强烈的焦虑，生怕失去母亲的爱。为了应对这种情况，她采取了一个巧妙的策略。她表面上完全遵从母亲的指令，营造出一种虚假顺从的表象。她接纳了母亲许多严苛的态度，并将其极端化，实际上是对母亲进行了 caricaturing（此处可能有误，原词有误用，推测可能是“ caricature”，意为“滑稽模仿”）。通过夸大这些母亲行为的片段，她让自己痛苦不堪，也就是说，她变得无快感、厌食，除了通过痛苦的肛交外无法达到性高潮。这是一种非常有用的妥协形成方式，使她能表现得像是母亲理想中的孩子，从而留住母亲的爱。与此同时，通过遵循母亲的命令让自己陷入痛苦状态，她将母亲暴露得荒谬可笑，从而暗中发泄了相当多的攻击性。
