Grotstein J S
Int J Psychoanal Psychother. 1978;7:137-51.
A discussion of "Some Communicative Properties of the Bipersonal Field" by Robert Langs, M.D. In response to Dr. Langs' delineation of the bipersonal field concept and his clinical elaboration of a triad of disorders which are graded into classifications of descending analyzability: Types A,B, and C fields. I confirm his thesis and endeavor to demonstrate some underlying foundations of his categorical assumptions, namely the conceptions of projective identification, of the intactness of the background object of primary identification, the conception of a dual-track theory of infantile development in order to delineate the parallel between the separated self and the continuation of primary identification, and the postulation of manic and schizoid types of narcissistic character disorders (Types B and C respectively). All of these conceptions are vicissitudes of the varying ways in which patients confront the depressive position of separation-individuation with rapprochement and, thereby, conform to a gradient in which symbolization interpretations can be utilized in analytic treatment.
医学博士罗伯特·兰斯所著《双人场域的一些交流特性》的讨论。针对兰斯博士对双人场域概念的描述以及他对三种障碍的临床阐述,这三种障碍被分级为可分析性递减的分类:A、B和C型场域。我认同他的论点,并试图展示其分类假设的一些潜在基础,即投射性认同的概念、初级认同的背景对象的完整性概念、婴儿期发展的双轨理论概念,以便描绘分离的自我与初级认同延续之间的平行关系,以及自恋性人格障碍的躁狂和分裂样类型的假设(分别为B型和C型)。所有这些概念都是患者以不同方式面对带有和解的分离个体化抑郁位置,并由此符合一种梯度的变迁,在这种梯度中,象征化解释可用于分析治疗。