Fabricius J
Int J Psychoanal. 1995 Jun;76 ( Pt 3):577-89.
Clinical material is presented from seven consecutive sessions in the third year of an analysis to show the way in which patient and analyst worked at the task of allowing each of their separate self and object representations to emerge. These emergent representations are ones in which different aspects of the self, both 'good' and 'bad', are gradually integrated. The continued tension in both participants between an infantile narcissistic view of self and object and a realistic integrated one is highlighted. The way in which the analyst's psychic work on the acceptance of her own narcissism aids the patient's integration of disowned aspects of self is discussed. This material is presented within the framework of ideas about the development of a theory of mind and of reflective self function proposed by Fonagy et al. (1993a, b) and in the context of recent writing on the analyst's unconscious participation in the analytic process, e.g. Levine (1994).
本文呈现了连续七次分析疗程(处于分析的第三年)中的临床资料,以展示患者和分析师如何致力于让他们各自独立的自我和客体表征得以浮现。这些浮现的表征中,自我的不同方面,包括“好”与“坏”,逐渐得以整合。文中强调了双方参与者在对自我和客体的婴儿式自恋观点与现实的整合观点之间持续存在的紧张关系。讨论了分析师在接纳自身自恋方面所做的心理工作如何帮助患者整合被否认的自我方面。这些资料是在Fonagy等人(1993a,b)提出的关于心理理论发展和反思性自我功能的思想框架内呈现的,并且是在近期关于分析师在分析过程中无意识参与的著作(如Levine,1994)的背景下呈现的。