García Badaracco J E
Int J Psychoanal. 1986;67 ( Pt 2):133-46.
This paper describes 'psychotizing bonds' in terms of identification processes, the way they function in the constitution of the psychic apparatus and their relation to the deficient self. The author relates the pathogenic potentiality of the psychotic nuclei with the tendency of psychotic disorganization to be irreversible. Psychotic regression is considered in terms of pathogenic identification with forms of ego and superego functioning that belong to the primitive parental objects of infancy. Whereas normogenic identifications structure the subject's own ego resources, the pathogenic identifications which appear in the psychotic transference, form bonds that stifle spontaneity and force the self to be transformed into the other. These ideas lead thus to the concept of the 'maddening object'. Finally, the pathogenic identifications in the psychoanalytic process are examined. The patient should be 'rescued' from these bonds linking the self with the maddening objects. The analyst must hold the conviction that a virtual and potential subject exists in the analysand, in spite of his psychotic condition. The deficient self which becomes manifest during the moments of dis-identification must be assisted.
本文从认同过程、其在心理结构构成中的运作方式以及与缺陷自我的关系等方面描述了“致精神病性联结”。作者将精神病核心的致病潜力与精神病性解体的不可逆倾向联系起来。从与属于婴儿期原始父母客体的自我和超我功能形式的致病认同角度来考虑精神病性退行。规范性认同构建了主体自身的自我资源,而在精神病性移情中出现的致病认同则形成了扼杀自发性并迫使自我转变为他者的联结。这些观点进而引出了“致疯客体”的概念。最后,对精神分析过程中的致病认同进行了审视。患者应从这些将自我与致疯客体相联结的束缚中“解救”出来。分析师必须坚信,尽管被分析者患有精神病,但在其内心存在一个虚拟的、潜在的主体。在去认同时刻显现出来的缺陷自我必须得到帮助。