Brenman E
Int J Psychoanal. 1982;63(Pt 3):303-10.
The paper deals with problems of separation in clinical practice. Various defences are outlined, such as indulgence in loveless sexuality, overeating, excessive intrusiveness, idealizations and paranoid grievances as means of avoiding separation anxiety. The main part of the paper deals with the avoidance of awareness of separation both in and out of the session in a case of clinical depression. An attempt is made to show how the patient arranges for others in his life, including his analyst, to experience the pain of separation. The patient also contended that his objects and analyst could not cope with separation and used omnipotent defences that the patient was intent on exposing. The aim of the paper is to show how the analyst might deal with this problem in clinical practice.
本文探讨了临床实践中的分离问题。文中概述了各种防御机制，诸如沉溺于无爱性行为、暴饮暴食、过度侵扰、理想化以及偏执性抱怨等，这些都是避免分离焦虑的手段。本文的主要部分探讨了在一例临床抑郁症病例中，患者在治疗期间及治疗期外对分离意识的回避。文中试图展示患者是如何安排其生活中的他人，包括其分析师，来体验分离之痛的。患者还坚称其客体及分析师无法应对分离，并采用了患者一心想要揭露的全能防御机制。本文的目的在于展示分析师在临床实践中可能如何处理这一问题。
