Loch W
Int J Psychoanal. 1982;63(Pt 3):267-73.
Referring to Cohen's account of his patient, it is stressed that the reported data may also warrant understanding the psychodynamics of the case as manifestations of an oedipal conflict. The importance of the break-down of narcissistic defences as a factor of paramount importance to triggering a mid-life crisis is fully acknowledged. At the same time it is maintained that narcissistic problems, because of their defensive character, may be correlated to each and every developmental stage. Three short vignettes are given, illustrating this. It is attempted to demonstrate that besides a painstaking analysis of death fantasies, the theme of death in itself transcends 'ordinary' analytic endeavouring, because it does not allow a mastering of the depressive position by reparation. Instead the 'im-mortality of death' permits only a life in actuality and projective identification.
参照科恩对其患者的描述，需要强调的是，所报告的数据也可能有助于将该病例的心理动力学理解为俄狄浦斯冲突的表现。自恋防御的瓦解作为引发中年危机的一个至关重要的因素，其重要性得到了充分认可。与此同时，有人认为，由于自恋问题具有防御性，它们可能与每个发展阶段都相关。文中给出了三个简短的事例来说明这一点。试图证明，除了对死亡幻想进行细致分析外，死亡主题本身超越了“普通”的分析努力，因为它无法通过修复来掌控抑郁状态。相反，“死亡的不朽”只允许在现实和投射性认同中生活。
