Rice E
Int J Psychoanal Psychother. 1985;11:243-74.
The multifaceted syndrome of suicide is viewed as a symptom with a manifest and a latent content. An attempt is made to demonstrate a dynamic reciprocal relationship, in a continuum, among fantasy, masturbation, and suicide. Sadomasochistic phenomena, beating fantasies, and suicidal thoughts and acts are viewed as translations of underlying positive and negative oedipal fantasies. Attention is also paid to how suicidal phenomena are facilitated by immature concepts of death, that is, its perception as a transient and reversible phenomenon, as well as its erotization. Four cases highlighting aspects of these themes are presented and then discussed in terms of how they illustrate the varying vicissitudes and elaborations of the masturbatory and/or oedipal fantasy and act, along separate or simultaneous pathways. In conclusion, there is an exploration of interpretive differences, with special reference to an object relations approach to phenomena, with its emphasis on preoedipal determinants and its attempts to accommodate both the drive/structure and object-relational/structure theoretical orientations.
自杀这一具有多面性的综合征被视为一种具有显性和隐性内容的症状。本文试图论证幻想、自慰和自杀之间在一个连续体中存在动态的相互关系。施虐受虐现象、殴打幻想以及自杀念头和行为被视为潜在的正向和负向俄狄浦斯幻想的转化形式。同时，还关注不成熟的死亡观念如何助长自杀现象，即把死亡视为一种短暂且可逆的现象，以及对死亡的情欲化。本文呈现并讨论了四个突出这些主题的案例，阐述了它们如何沿着不同或同时出现的路径，展现出自慰和/或俄狄浦斯幻想及行为的不同变迁和发展。总之，本文探讨了解释上的差异，特别提及了一种现象的客体关系取向，其强调前俄狄浦斯期的决定因素，并试图兼顾驱力/结构和客体关系/结构这两种理论取向。
