Abend S M
J Am Psychoanal Assoc. 1979;27(3):579-96. doi: 10.1177/000306517902700304.
It has long been known that patients' wishes for cure by analysis give expression to unconscious wishes for instinctual gratification which originate in childhood mental life. Patients sometimes develop theories about how they believe analysis attains its ends; these are likely to affect the way they behave in the analytic situation, and analysis of them may therefore constitute an important contribution to progress in the analysis. Two illustrative cases are presented; in both, the unconscious determinants of the patients' theories turn out to be infantile sexual fantasies connected with their uncon scious wishes for instinctual satisfaction. It is further suggested that analogous unconscious fantasies also influence the theories of analysts and other therapists about how analysis works. In some instances these factors, while not affecting theory formation explicitly, may, without being recognized as doing so, contribute to decisions regarding the modification of analytic technique. Awareness of that possibility may aid analysts in assessing the indications for such proposed modifications.
长期以来，人们都知道患者通过分析来治愈的愿望表达了源自童年精神生活的对本能满足的无意识愿望。患者有时会形成关于他们认为分析如何达到目的的理论；这些理论很可能会影响他们在分析情境中的行为方式，因此对这些理论的分析可能会对分析的进展做出重要贡献。本文呈现了两个说明性案例；在这两个案例中，患者理论的无意识决定因素结果都是与他们对本能满足的无意识愿望相关的婴儿期性幻想。进一步表明，类似的无意识幻想也会影响分析师和其他治疗师关于分析如何起作用的理论。在某些情况下，这些因素虽然没有明确影响理论形成，但可能在未被意识到的情况下，对关于修改分析技术的决策有所贡献。意识到这种可能性可能有助于分析师评估此类提议修改的适应症。
