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《朵拉》的复兴:精神分析理论与技术的进展

The revival of "Dora": advances in psychoanalytic theory and technique.

作者信息

Jennings J L

出版信息

J Am Psychoanal Assoc. 1986;34(3):607-35. doi: 10.1177/000306518603400305.

Abstract

For nearly six decades after its publication in 1905, Freud's remarkable case of Dora remained untouched by critical comment. However, beginning in the early 1970's, an abundance of articles began to appear, which focused exclusively on the Dora case. The present paper reviews the literature of this so-called "Dora revival" in order to explain the historical and theoretical reasons leading to this extraordinary burst of research. Above all, two vital developments in the psychoanalytic discipline created the climate that fostered the Dora revival. First, there was a revolutionary change in attitude toward the phenomenon of countertransference: in contrast to the classical view of countertransference as a disruptive interference in treatment, analysts increasingly regarded countertransference as a pervasive and natural process, which could be potentially utilized to enhance understanding of the patient's unconscious conflicts and defenses. Second, there was enormous and rapid growth of a comprehensive psychoanalytic theory of adolescence and its treatment. Thus, based on a more favorable attitude toward countertransference, and a much improved understanding of the unique problems of adolescence, psychoanalysts could reexamine and better understand the decisive events that contributed to Freud's abortive analytic treatment of Dora.

摘要

1905年弗洛伊德关于朵拉的著名病例发表后的近六十年间,几乎没有受到批判性评论的影响。然而,从20世纪70年代初开始,大量专门聚焦于朵拉病例的文章开始出现。本文回顾了这一所谓“朵拉复兴”的文献,以解释导致这一非凡研究热潮的历史和理论原因。最重要的是,精神分析学科的两个重要发展营造了促进朵拉复兴的氛围。首先,对反移情现象的态度发生了革命性变化:与将反移情视为治疗中破坏性干扰的经典观点不同,分析师越来越将反移情视为一个普遍且自然的过程,它有可能被用于增进对患者无意识冲突和防御的理解。其次,关于青春期及其治疗的全面精神分析理论有了巨大且迅速的发展。因此,基于对反移情更有利的态度以及对青春期独特问题有了大幅提升的理解,精神分析师能够重新审视并更好地理解那些导致弗洛伊德对朵拉的分析治疗失败的决定性事件。

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