Fossi G
Riv Patol Nerv Ment. 1982 Mar-Apr;103(2):81-95.
The principle that increasing the collection of data through an exchange of clinical experience means scientific progress for psychoanalysis is criticized: this can be achieved only by adopting new theories or paradigms. Freudian metapsychology in an unsatisfactory theory because instead of explaining clinical data, it contrasts them but an exclusively empirical theory would limit psychoanalysis. The Author suggests to adopt and develop a structural paradigm. The concept of structure is utilized at neurophysiological level, at psychological structures level and finally in the structuralistic analysis of psychoanalytical multiple narratives. Three types of theories are considered clinically: descriptive, comprehensive (of multiple aims and meanings) and genetic. The articulation of comprehensive and genetic theories with the hypothetical theory level represented by psychological structures is being sought. This different theoretical approach will also involve differences at technical level and the Author deals with this latter aspect by referring to interpretations, transference dreams and pathology.
只有采用新的理论或范式才能实现这一点。弗洛伊德的元心理学是一种不令人满意的理论，因为它不是解释临床数据，而是将它们进行对比，但一种纯粹的经验性理论会限制精神分析。作者建议采用并发展一种结构范式。结构的概念在神经生理层面、心理结构层面以及最终在对精神分析多重叙事的结构主义分析中得到运用。临床上考虑三种类型的理论：描述性理论、综合性理论（具有多重目标和意义）和发生学理论。正在寻求综合性理论和发生学理论与以心理结构为代表的假设理论层面的衔接。这种不同的理论方法也将在技术层面产生差异，作者通过提及解释、移情梦和病理学来探讨后一个方面。
