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与早期精神病理学相关的可分析性。

Analysability in relation to early psychopathology.

作者信息

Zimmerman D

出版信息

Int J Psychoanal. 1982;63(Pt 2):189-200.

PMID:7129767
Abstract

Analysability is a highly important subject, both in the treatment of patients and in selecting candidates for analytical training. The assessment of analysability can be studied from two complementary points of view: the dynamic (with the data obtained in the preliminary interviews) and the genetic (with data obtained from early childhood by means of psychoanalytical treatment). The purpose of this study will be to contribute to the study of analysability from the genetic point of view. When one goes deeper into the analysis of a patient there may be doubts as to the limits and possibilities of his analysability. The same occurs with regard to the assessment of the amount of psychic changes made by the patient. The study of analysability related to early psychopathology can help us clear up such problems. Summaries of two psychoanalytical treatments with commentaries are presented: one with understandable limitations in analysis and the other which will be difficult to analyse. In the final considerations, based on the aforementioned clinical examples and on many others, experiences of reasonable initial psychic development are mentioned, and early psychopathological experiences--traumas, deprivations, bad relationships with important objects--which determine analysability or its limitations, obstacles or even impossibility.

摘要

可分析性是一个非常重要的课题,无论是在患者治疗还是在挑选接受分析训练的候选人方面。可分析性的评估可以从两个互补的角度进行研究:动态角度(通过初步访谈获得的数据)和发生学角度(通过精神分析治疗从童年早期获得的数据)。本研究的目的是从发生学角度为可分析性的研究做出贡献。当深入分析一位患者时,可能会对其可分析性的限度和可能性产生疑问。在评估患者所产生的心理变化程度方面也会出现同样的情况。与早期精神病理学相关的可分析性研究有助于我们澄清此类问题。本文呈现了两次精神分析治疗的总结及评论:一次在分析方面存在明显局限,另一次则难以进行分析。在最后的思考中,基于上述临床实例以及许多其他实例,提到了合理的初始心理发展经历,以及决定可分析性或其局限性、障碍甚至不可能性的早期精神病理经历——创伤、剥夺、与重要客体的不良关系。

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