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作为清醒梦的移情神经症:关于一个临床谜团的笔记

Transference neurosis as a waking dream: notes on a clinical enigma.

作者信息

Kern J W

出版信息

J Am Psychoanal Assoc. 1987;35(2):337-66. doi: 10.1177/000306518703500203.

Abstract

This paper demonstrates clinically that the interactional features of a transference neurosis are the waking equivalents of a manifest dream. Through analytic investigation of the emerging repetitive extraverbal elements of apparent transference resistance behavior, it is discovered that the systematic analysis of the details of such behavior yields a picture of synthetic construction fundamentally the same as that seen in dreams. By using Freud's technique of systematic dream interpretation, the tightly organized, coded, and camouflaged presence of many key compromise formations determining a neurosis are found to be represented in compact, highly condensed clinical interactions, providing an overall picture of dreamwork in action. The four components of dreamwork are found to be the principal means by which the unconscious genetic and dynamic material is represented in the analytic field.

摘要

本文通过临床实例证明,移情神经症的交互特征是显性梦境在清醒状态下的对应物。通过对明显的移情抵抗行为中反复出现的非言语元素进行分析研究,发现对这种行为细节的系统分析所产生的综合结构图景,与梦境中的图景基本相同。运用弗洛伊德的系统释梦技巧,可以发现许多决定神经症的关键妥协形成物紧密组织、编码且伪装的呈现,在紧凑、高度浓缩的临床互动中得到体现,展现出梦的工作实际运作的全貌。梦的工作的四个要素被发现是无意识的遗传和动力材料在分析领域得以呈现的主要方式。

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