Cohen J
J Am Acad Psychoanal. 1985 Jan;13(1):77-92. doi: 10.1521/jaap.1.1985.13.1.77.
Verbal thought occupies a preeminent place in psychoanalytic theory and practice. The patient keeps out of conscious awareness, ultimately, what is unrepresentable, therefore unthinkable. The analyst helps the patient find ways to think about the unthinkable, both to reconstruct the past and free himself from it. The patient's role in this process involves a challenge comparable to the analyst's, in balancing and shifting between free association and objectifying thought. His capacity to progressively adapt his thinking and language to meet these therapeutic needs is a sensitive indicator that the narcissistic disturbance is healing. Conversely, incapacity to do so results in therapeutic stalemate or incomplete treatment.
言语思维在精神分析理论与实践中占据着卓越地位。最终，患者会将无法被表征、因而无法被思考的内容排除在意识觉知之外。分析师帮助患者找到思考不可思考之事的方法，以便重构过去并从中解脱出来。在这个过程中，患者的角色面临着与分析师类似的挑战，即在自由联想和客观化思维之间进行平衡与转换。他逐渐调整自己的思维和语言以满足这些治疗需求的能力，是自恋性障碍正在痊愈的一个敏感指标。相反，若无法做到这一点，则会导致治疗僵局或治疗不完整。
