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精神分析临床过程的验证:梦的作用。

Validation of the psychoanalytic clinical process: the role of dreams.

作者信息

De Azevedo A M

出版信息

Int J Psychoanal. 1994 Dec;75 ( Pt 5-6):1181-92.

PMID:7536185
Abstract

This paper explores the place of dreams in the validation of the actuality of an evolving psychoanalytic clinical process. The specificity of psychoanalysis, in the author's perspective, consists basically in its being an intersubjective clinical practice; because of this, positivistic notions of validation, such as verification as a search for constancies and regularities, have no proper place here. The shared emotional experience--the intersubjectivity--of the psychoanalytic pair is the place where our method must be validated. Dreams, not only as a solitary intrapsychic production during sleep, but also as narratives made by the analysand within the setting, are an essential part of working through and provide a feasible way to attain some degree of validation of the process. The analysand's narrative of his dreams leads to a 'shared dreaming' in session of the analysand-analyst pair; leaving aside their role as resistance, dreams emerge from emotional experiences as a 'construction of knowledge', as an attempt at symbolic elaboration.

摘要

本文探讨了梦在验证一个不断发展的精神分析临床过程的现实性中所占据的位置。在作者看来,精神分析的特殊性主要在于它是一种主体间性的临床实践;正因为如此,诸如将验证视为对恒常性和规律性的探寻这样的实证主义验证观念在这里并无用武之地。精神分析医患双方共有的情感体验——主体间性——是我们的方法必须得到验证的所在。梦,不仅作为睡眠期间一种单独的心理内部产物,而且作为分析对象在治疗情境中所讲述的故事,是分析过程的重要组成部分,并提供了一种可行的方式来实现对该过程一定程度的验证。分析对象对其梦的讲述会导致在分析对象与分析师之间的治疗过程中出现“共同做梦”;抛开梦作为阻抗的作用不谈,梦源自情感体验,是一种“知识建构”,是一种象征性阐释的尝试。

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