, PhD, 115 East 92nd Street, Suite 1A, New York, NY, 10128, USA.
Am J Psychoanal. 2023 Sep;83(3):396-416. doi: 10.1057/s11231-023-09409-7.
In hopes of contributing to the developing self-critique of relational analysis, I offer a case that illustrates a modified approach, one informed by current dialogue. The patient described had considerable unmet selfobject needs and a schizoid sensitivity to intrusion, engendering the question explored: How do two minds meet if one is largely relationally dissociated and acutely vulnerable when integrated? A premature emphasis on intersubjectivity would have obscured the patient's narcissistic needs and reinforced her tendency to retreat. Suspending the goal of intersubjectivity allowed for a regressive process to occur, and for contact to become safe before analyst and patient paved the way for future mutual relatedness.
为了有助于发展关系分析的自我批判，我提供一个案例来说明一种经过修正的方法，这种方法受到当前对话的启发。所描述的患者有相当多的未满足的自我客体需求和对入侵的分裂敏感性，引发了探讨的问题：如果一个人在很大程度上是关系上的分裂的，并且在整合时非常脆弱，那么两个人的思想如何相遇？过早强调主体间性会掩盖患者的自恋需求，并加强她退缩的倾向。暂停主体间性的目标允许退行过程发生，并且在分析师和患者为未来的相互关系铺平道路之前，让接触变得安全。
