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Psychoanal Q. 2023;92(2):309-330. doi: 10.1080/00332828.2023.2236601. Epub 2023 Aug 8.
As Williams (1997) describes, patients with anorexia nervosa have been on the receiving end of intrusive maternal projections and consequently develop a no-entry system of defense. This paper explores how deception may function as an aspect of this system in two ways. First, deception may serve as a self-preservative effort to evade emotional contact with the maternal object, which is experienced as overflowing with projections, and to attenuate accompanying persecutory anxiety. Second, rumination-painful thoughts, feelings, and sensations-about the deception being discovered by the object leverages the mind's hypnoid capacities to construct an omnipotently generated container for the self that further protects the patient from emotional contact with the maternal object's projections. These ideas are illustrated with a clinical case of a patient with anorexia nervosa who engaged in frequent deception.
正如威廉姆斯（1997 年）所描述的，神经性厌食症患者一直处于母亲投射的侵入性影响之下，因此发展出了一种无法进入的防御系统。本文探讨了欺骗如何以两种方式作为该系统的一个方面发挥作用。首先，欺骗可能是一种自我保护的努力，以避免与充满投射的母性客体进行情感接触，并减轻随之而来的迫害性焦虑。其次，对被客体发现欺骗的反刍——痛苦的想法、感受和感觉——利用了大脑的催眠能力，为自我构建一个全能生成的容器，进一步保护患者免受与母性客体投射的情感接触。这些想法通过一个神经性厌食症患者的临床案例得到了说明，该患者经常欺骗。
