Kernberg O F
New York Hospital-Cornell Medical Center, Westchester Division.
J Am Psychoanal Assoc. 1994;42(4):1137-57.
In the context of viewing the analytic setting as a "clinical laboratory" to study the nature of love relations, this paper starts by outlining the relationships of transference love, "normal" love, neurotic love, and oedipal love. After a description of the vicissitudes of transference love when patient and analyst are of the same sex and of opposite sex, developments of transference love regarding homosexual and heterosexual longings in neurotic and narcissistic pathology are considered. Countertransference reactions in response to transference love are explored next, with emphasis on conditions under which erotic countertransference may become particularly intense. In describing the technical management of erotic countertransference, the analyst's ability to explore his own feelings and fantasies without constraint is stressed. The usefulness of understanding the erotic countertransference in arriving at transference interpretations is illustrated by a clinical case of a female patient with a neurotic personality structure and predominantly masochistic conflicts.
在将分析情境视为研究爱情关系本质的“临床实验室”的背景下，本文首先概述了移情之爱、“正常”之爱、神经症之爱和俄狄浦斯式之爱的关系。在描述了患者与分析师同性和异性时移情之爱的变迁后，探讨了神经症和自恋性病理中关于同性恋和异性恋渴望的移情之爱的发展。接下来探讨对移情之爱的反移情反应，重点关注色情反移情可能变得尤为强烈的条件。在描述色情反移情的技术处理时，强调了分析师不受约束地探索自己感受和幻想的能力。通过一个具有神经症人格结构且主要存在受虐冲突的女性患者的临床案例，说明了理解色情反移情在得出移情解释方面的作用。
