Lo Turco F, Dari A
Associazione Italiana Analisi Mentale, Roma.
Minerva Psichiatr. 1994 Sep;35(3):169-73.
The authors underline the importance of dreams in the initial phases of psychoanalysis as an instrument of diagnosis and prognosis. In these first phases of explorative analysis or of consultation the dreams will show the structures and the deep mental dynamics of the patient, they will also show the expectations that the patient has with regard to the therapeutic prospects, and also the effectiveness of the encounter between patient and therapist. The authors underline the significance of the moment in which the dreams are told to the analyst: it is possible, therefore, to speak about anamnestic dreams, about dreams that are a consequence of the decision to start an analysis, about dreams that referred to the first contact between the patient and the analyst, about dreams that concern the consultation phase broadly. The authors, moreover, describe several examples of patients' dreams in the first phases of explorative analysis and they supply them with an interpretation and with a diagnostic and prognostic use, and they also propose indications on how and in what way and if it is the case to continue the therapy.
作者强调梦在精神分析初始阶段作为诊断和预后工具的重要性。在探索性分析或咨询的这些初始阶段，梦会展现出患者的心理结构和深层心理动力，还会显示出患者对治疗前景的期望，以及患者与治疗师相遇的效果。作者强调将梦告知分析师这一时刻的重要性：因此，可以谈及回忆性梦境，即因决定开始分析而产生的梦，涉及患者与分析师首次接触的梦，以及大致关乎咨询阶段的梦。此外，作者描述了探索性分析初始阶段患者梦境的几个例子，并对其进行解释以及给出诊断和预后用途，还就如何、以何种方式以及是否继续治疗提出了建议。
