Myers W A
Int J Psychoanal Psychother. 1980;8:623-47.
A case history of a woman is presented whose primary conscious masturbatory fantasy from age three until age forty was of her father beating her. Late in her lengthy treatment, the conscious fantasy was seen to screen off the underlying, unconscious fantasy of being beaten by her mother. Early traumata, surgery, and primal scene exposures led to profound separation-individuation problems, heightened preoedipal and oedipal castration anxiety, and a faulty genital schematization. Compulsive masturbation, duplicating genital arousal initiated by the mother's early enema assaults and later by primal scene exposures, allowed neutralization of the intense aggression aroused by separation and castration traumata. Preoedipal fantasies screened off from conscious awareness by the oedipal ones were influenced by the primal scene exposures. These consisted of the ideas of being hurt (castrated) and beaten by the father. In the lengthy therapy with this patient an erotized transference developed in which, again, a libidinal gratification was used defensively to maintain the threatened object relationship. The interaction between beating fantasies and reality events is also discussed.
本文呈现了一位女性的病史,从三岁到四十岁,她主要的有意识自慰幻想是父亲殴打她。在她漫长的治疗后期,人们发现这种有意识的幻想掩盖了其潜意识中被母亲殴打的幻想。早期创伤、手术以及原初场景暴露导致了严重的分离-个体化问题、前俄狄浦斯期和俄狄浦斯期阉割焦虑加剧,以及生殖器图式形成错误。强迫性自慰重复了由母亲早期灌肠攻击以及后来原初场景暴露引发的生殖器唤起,从而使分离和阉割创伤所引发的强烈攻击性得以中和。被俄狄浦斯期幻想屏蔽于意识之外的前俄狄浦斯期幻想受到了原初场景暴露的影响。这些幻想包括被父亲伤害(阉割)和殴打的想法。在对该患者的长期治疗中,产生了一种带有性欲色彩的移情,其中,力比多满足再次被用于防御性地维持受到威胁的客体关系。文中还讨论了殴打幻想与现实事件之间的相互作用。