Ahumada J L
Int J Psychoanal. 1994 Dec;75 ( Pt 5-6):949-62.
This paper is an inquiry into the nature of clinical facts in psychoanalysis. The attainment of representability of psychic reality being requisite for insight, the author examines inductive processes on the part of both analyst and analysand, which are to be considered proper aspects of the study of clinical facts. It is argued that the analyst chooses his interpretations guided in good measure by nonverbal material, based on how he intuits that he is 'used' by the analysand and the ways the analysand feels 'used' by him; such nonverbal clues on the nature of the unconscious relational 'frames' operating in sessions guide him to select relevant associations from the universe of the analysand's verbal utterances. He thus comes to voice his interpretations, purveying a 'mapping' of psychic reality that typically makes use of a new viewpoint for description. Insight is achieved when the analysand attains ostensive refutation or redefinition of his unconscious 'theories' about the relationship, and this happens only in concrete individual situations, when the effects of his relational unconscious 'theories' come to be contrasted observationally in diverse 'screens', perceptual and mnemic, against the background of the analyst's neutrality: in such a way unconscious 'theories' attain the Pcs.-Cs. domain of the 'no'.
本文探讨精神分析中临床事实的本质。由于洞察需要实现心理现实的可表征性,作者考察了分析师和分析对象的归纳过程,这些应被视为临床事实研究的恰当方面。有人认为,分析师在很大程度上根据非言语材料来选择他的解释,这基于他如何直觉到自己被分析对象“利用”以及分析对象感觉被他“利用”的方式;这些关于在治疗过程中运作的无意识关系“框架”本质的非言语线索,引导他从分析对象的言语表达整体中挑选出相关联想。于是他开始说出自己的解释,提供一种对心理现实的“映射”,这种映射通常利用一种新的描述视角。当分析对象对其关于关系的无意识“理论”获得明示性反驳或重新定义时,洞察就实现了,而这仅在具体的个体情境中发生,此时他关系性无意识“理论”的影响在分析师中立的背景下,在各种“屏幕”(感知的和记忆的)中通过观察形成对比:以这种方式,无意识“理论”进入“否”的前意识-意识领域。