Vollmer Filho G
Int J Psychoanal. 1994 Dec;75 ( Pt 5-6):1041-9.
The author tries to describe and illustrate clinically two levels of abstractions made in the conceptualisation of 'clinical psychoanalytical' facts. The first one, immediate, occurs in the 'here-and-now' of the emotional experience which develops in the session and where unconscious and preconscious aspects of the analyst predominate, particularly those resulting from his unconscious theoretical reference scheme. The second level of abstraction, mediate, is made after the session and, even if it includes elements from the previous level, is characterised predominantly by the presence of rational, conscious elements, which allow the formulation of more general theoretical concepts and broader articulations of the patients' associations with one another, with the session as a whole, with that moment in the analysis, with the patient's history and with different theoretical references.
作者试图从临床上描述和阐释在“临床精神分析”事实概念化过程中所做的两个抽象层次。第一个层次是直接的，出现在治疗过程中发展起来的情感体验的“此时此地”，此时分析师的无意识和前意识方面占主导，尤其是那些源于其无意识理论参照体系的方面。第二个抽象层次是间接的，在治疗 session 之后形成，即使它包含了前一个层次的元素，其主要特征是存在理性的、有意识的元素，这些元素使得能够形成更一般的理论概念，以及对患者彼此之间、与整个治疗 session、与分析中的那个时刻、与患者的病史以及与不同理论参照之间的联系进行更广泛的阐述。 （注：原文中的“session”在精神分析语境中较难准确翻译，这里保留英文供参考理解，可根据具体精神分析专业知识进一步优化翻译，比如可译为“治疗时段”等）
