Jacobson J G
Psychoanal Q. 1983 Oct;52(4):514-42.
I have attempted to articulate a means of incorporating representational world concepts firmly within the structural theory, while still maintaining their clarity, a view which I believe can be useful both clinically and theoretically. It can facilitate an analyst's working with complex clinical material that reflects conflicts at multiple developmental levels, without forcing a premature commitment to restrictive conceptualizations which could impede his listening to the full richness of the material. In addition, I have argued that the perpetual resurgences of representational world psychologies may be understood as an indication of the need for the inclusion of those phenomena in our theory in a clear and integrated way. Finally, I have presented some basis for suggesting that the drive-defense and the representational world models represent coordinate aspects of the structural theory, each with its vantage points for highlighting and clarifying certain phenomena, but best used complementarily in our observations of psychopathology at all levels of development. I do not believe this represents a totally new view or departure within psychoanalytic thinking. On the contrary, I have assembled, organized, and attempted to make explicit certain understandings which I believe we often apply naturally through the use of empathy and intuitive gifts. In an analysis which is going well, an analyst operating within a drive-defense framework is almost certainly finding some natural way of dealing with self and object issues, even if he does not formulate them explicitly to himself. To set down and make explicit, however, the functions we may much of the time perform without awareness is worthwhile preparation against times of difficulty in understanding a particular case. At those times we need at our disposal as specific, as inclusive, and as illuminating a theory as we can find to assist us. It is that clinical need which has guided me in these attempts at theoretical clarification.
我试图阐明一种方法,将表征世界的概念牢固地纳入结构理论之中,同时仍保持其清晰性。我认为这种观点在临床和理论层面都可能有用。它有助于分析师处理复杂的临床素材,这些素材反映了多个发展层面的冲突,而不会迫使分析师过早地致力于那些可能阻碍其充分理解素材丰富内涵的限制性概念。此外,我认为表征世界心理学的不断复兴,可被理解为一种迹象,表明需要以清晰和整合的方式将这些现象纳入我们的理论。最后,我提出了一些依据,表明驱力 - 防御模型和表征世界模型代表了结构理论的相互协调的方面,每个模型都有其突出和阐明某些现象的优势视角,但在我们对各个发展层面的精神病理学观察中,最好互补使用。我不认为这代表了精神分析思维中一种全新的观点或背离。相反,我收集、整理并试图明确某些理解,我相信我们常常通过共情和直觉天赋自然地应用这些理解。在进展顺利的分析中,在驱力 - 防御框架内工作的分析师几乎肯定会找到某种自然的方式来处理自我和客体问题,即使他没有向自己明确表述这些问题。然而,记录并明确我们在很多时候无意识执行的功能,是应对理解特定案例困难时期的有价值的准备。在那些时候,我们需要尽可能找到具体、全面且有启发性的理论来帮助我们。正是这种临床需求引导我进行这些理论澄清的尝试。