Robertson B M
Can J Psychiatry. 1979 Oct;24(6):557-74. doi: 10.1177/070674377902400614.
In this second part of a review of the psychoanalytic theory of depression the major themes of the theory, as they appear in the works of the major contributors, are discussed. It is difficult to approach the complexities and ambiguities of psychoanalytic theory in general, and the theory of depression in particular, without an historical perspective. Accordingly, the author decided to group the major themes of the theory under three headings: Instinct Theory, Structural Theory, Object Relations Theory. The themes included under Instinct Theory are constitutional factors, aggression and orality. Under the heading of Structural Theory those themes associated with the ego, with the concepts of narcissism and the self, and finally those associated with the superego are discussed. It is of note that under narcissism the work of both Kohut and Kernberg is considered, including its relevance to any investigation of depression. The concepts of object loss and object failure are discussed under the heading of Object Relations Theory. It is suggested that a psychoanalytic approach has much to offer both the clinician and the researcher in their attempts to develop a comprehensive theory to explain the protean manifestations of human depression.
在这篇关于抑郁精神分析理论综述的第二部分中，将讨论该理论在主要贡献者著作中呈现的主要主题。一般而言，若没有历史视角，很难理解精神分析理论的复杂性与模糊性，尤其是抑郁理论。因此，作者决定将该理论的主要主题归为三个标题下：本能理论、结构理论、客体关系理论。本能理论涵盖的主题有体质因素、攻击性和口欲期。在结构理论标题下，将讨论与自我相关的主题、自恋和自我概念，最后是与超我相关的主题。值得注意的是，在自恋方面，考虑了科胡特和克恩伯格的著作，包括其与抑郁研究的相关性。客体丧失和客体缺失的概念在客体关系理论标题下进行讨论。有人认为，精神分析方法在临床医生和研究人员试图构建一个综合理论来解释人类抑郁的多变表现方面，能提供很多帮助。
