Margolis M
Psychoanal Q. 1984 Jul;53(3):355-85.
A case of mother-adolescent son incest is reviewed. The son was treated in psychoanalytic psychotherapy for nine years and seen in a follow-up study five years later. The incest is understood as a compromise formation in which most aspects of the positive oedipus are repressed, while limited direct or defensively altered expression of oedipal and preoedipal impulses are allowed. Superego development is considered as being complete, although the superego is pathologically malformed and is responsible for the patient's pervasive feelings of guilt and his extensive need for punishment for his incestuous behavior. These findings contradict the views of those who understand mother-son incest as representing only direct expression of positive oedipal wishes made possible by a weak, deficient superego.
本文回顾了一例母亲与青春期儿子乱伦的案例。该儿子接受了九年的精神分析心理治疗，并在五年后的一项随访研究中接受观察。这种乱伦被理解为一种妥协形成，其中积极俄狄浦斯情结的大多数方面被压抑，而俄狄浦斯和前俄狄浦斯冲动的有限直接或防御性改变的表达被允许。超我发展被认为是完整的，尽管超我在病理上畸形，并导致患者普遍的内疚感以及他对自己乱伦行为进行广泛惩罚的强烈需求。这些发现与那些认为母子乱伦仅代表由薄弱、有缺陷的超我所促成的积极俄狄浦斯愿望的直接表达的观点相矛盾。
