Grossman W I, Stewart W A
Montefiore Hospital and Medical Center, Department of Psychiatry, Bronx, N.Y. 10467.
J Am Psychoanal Assoc. 1976;24(5 Suppl):193-212.
Two phases of penis envy are considered. The first regularly occurs early in development and is registered as a narcissistic injury which can be resolved under optimal conditions and can contribute to female psychosexual development. If, however, it is not favorably resolved or, even more significantly, if the basic character disorder is of a narcissistic type, the awareness of the genital difference becomes one of many narcissistic traumas. A later phase of penis envy usually represents a regressive effort to resolve oedipal conflicts. In the past, these two phase-oriented forms of penis envy have not been adequately distinguished. Two clinical examples are presented in which the envy of men was only part of a tendency to envy in a narcissistic character disorder. In the analysis, the interpretation of the penis envy offered a metaphor around which all of the "free-floating" envy could coalesce. The cases illustrate the necessity to consider penis envy as the manifest content of a symptom that needs analysis, rather than as "bedrock" or ultimate conflict.
阴茎嫉妒被认为有两个阶段。第一个阶段通常在发育早期出现,被视为一种自恋性损伤,在最佳条件下可以得到解决,并有助于女性的性心理发展。然而,如果它没有得到良好的解决,或者更重要的是,如果基本性格障碍是自恋型的,那么对生殖器差异的意识就会成为众多自恋创伤之一。阴茎嫉妒的后期阶段通常代表着解决俄狄浦斯冲突的退行性努力。过去,这两种以阶段为导向的阴茎嫉妒形式没有得到充分区分。文中给出了两个临床案例,其中对男性的嫉妒只是自恋型人格障碍中嫉妒倾向的一部分。在分析中,对阴茎嫉妒的解释提供了一个隐喻,所有“游离的”嫉妒都可以围绕这个隐喻凝聚起来。这些案例说明了有必要将阴茎嫉妒视为一个需要分析的症状的明显内容,而不是视为“基石”或最终冲突。