Robbins M
Int J Psychoanal. 1980;61(Pt 4):477-92.
The paper examines the controversy in object relations theory between Kernberg and Kohut from two vantage points, one historical and the other contemporary. By striving to be critically equidistant from both theories we hope to avoid either-or thinking and to address larger questions about the state of object relations theory. Historically the controversy reincarnates a seemingly forgotten schism between Klein and Fairbairn from the preceding psychoanalytic generation. First Klein and now Kernberg has contributed to our understanding of developmentally and pathologically primitive states characterized by absence of integration, incompleteness of self-object differentiation, and prominence of aggression. In so doing they fail to make sufficient distinctions between the neonatal psyche, the more mature psyche, and the neurotic and psychotic psychic apparatuses. First Fairbairn and now Kohut has brought to our attention the importance of the pre-object relationship in early development and primitive psychopathology, but neither has conceptualized meaningful psychic events prior to subjective integration. Their theories, like those of Klein and Kernberg, also condense more and less well differentiated phases of development. For example, Kohut postulates completely separate development of the self and of object relations. The polarization of the current controversy need not force us to choose between theories. We might better aspire to a more comprehensive theory which includes elements from each but which makes clearer distinctions between normal development, pathological development, normal adult functioning and adult psychopathology.
本文从两个视角审视了克恩伯格与科胡特在客体关系理论上的争议,一个是历史视角,另一个是当代视角。通过努力在两种理论之间保持批判性的中立,我们希望避免非此即彼的思维方式,并探讨关于客体关系理论现状的更广泛问题。从历史角度看,这场争议再现了前一代精神分析学家中克莱因与费尔贝恩之间一场看似被遗忘的分裂。先是克莱因,现在是克恩伯格,他们都为我们理解以缺乏整合、自我客体分化不完全以及攻击的突出为特征的发展性和病理性原始状态做出了贡献。但他们在新生儿心理、更成熟的心理以及神经症和精神病性心理结构之间未能做出充分区分。先是费尔贝恩,现在是科胡特,他们让我们注意到前客体关系在早期发展和原始精神病理学中的重要性,但他们都没有将主观整合之前有意义的心理事件概念化。他们的理论,就像克莱因和克恩伯格的理论一样,也浓缩了分化程度或多或少不同的发展阶段。例如,科胡特假设自我和客体关系是完全分开发展的。当前争议的两极分化并不迫使我们在理论之间做出选择。我们或许更应该追求一种更全面的理论,它包含每种理论的元素,但能更清晰地区分正常发展、病理性发展、正常成人功能和成人精神病理学。