Theories of pathogenesis can be influenced by shared unconscious fantasies. This may determine the speedy enthusiasm with which some theories are accepted. In keeping with primitive, pleasure-seeking trends, it is appealing to blame illness on others and to view pathogenesis in terms of the intrusion into the self of some alien, noxious agent. These ideas can be seen in certain current theories that ascribe pathogenesis to inadequate, unempathic mothering. Such theories influence psychoanalytic technique. Analysis becomes a form of replacement therapy, in which the analyst facilitates normal development by serving as an appropriate object. This approach may gratify unconscious needs in analyst and analysand alike. The attempt to isolate one specific pathogenic factor as crucial fails to do justice to the complexity of pathogenesis and may lead to the failure to recognize the role of unconscious conflict and to analyze resistances.
发病机制理论可能会受到共享的无意识幻想的影响。这可能决定了某些理论被接受时的迅速热情。与原始的、追求快乐的趋势一致，将疾病归咎于他人并从某种外来的有害因素侵入自身的角度来看待发病机制是很有吸引力的。这些观点可以在当前某些将发病机制归因于不充分、缺乏共情的母爱的理论中看到。此类理论影响着精神分析技术。分析变成了一种替代疗法，分析师通过充当合适的对象来促进正常发展。这种方法可能会满足分析师和被分析者双方的无意识需求。试图将一个特定的致病因素孤立出来视为关键因素，无法公正地对待发病机制的复杂性，可能导致无法认识到无意识冲突的作用以及无法分析阻抗。
