This paper concerns a common clinical picture, one that is seen particularly clearly in young men. It is a picture which, within a traditional psychoanalytic framework, has much to do with that set of mental structures referred to as the superego and with the patterns which follow from the oedipal period of development. Using two case examples, this paper suggests the outlines of a treatment strategy and looks at some of the theoretical issues involved (in particular, the contribution of an object relations emphasis to classical theory). It argues for the importance of grief in the oedipal dilemma and suggests that the role of grief in the formation and maintenance of morbid conscience can overshadow that more familiar explanation, the struggle with one's own forbidden wishes.
本文关注一种常见的临床症状，这种症状在年轻男性中尤为明显。在传统精神分析框架内，这种症状与被称为超我的那套心理结构以及源自俄狄浦斯发展阶段的模式密切相关。通过两个病例实例，本文提出了一种治疗策略的梗概，并探讨了其中涉及的一些理论问题（特别是客体关系强调对经典理论的贡献）。本文论证了悲伤在俄狄浦斯困境中的重要性，并表明悲伤在病态良知的形成和维持中所起的作用可能会使更为人熟知的解释——与自身被禁愿望的斗争——相形见绌。
