Mayes L C, Cohen D J
Yale Child Study Center, New Haven, CT 06510-8009.
Int J Psychoanal. 1993 Dec;74 ( Pt 6):1235-44.
From its inception, child psychoanalysis has used fantasy play as a window to both the content and process of children's inner worlds. Because of the link to action and primary process, young children's imaginary play is rich in symbolic expressions that facilitate analytic interpretive interventions addressing the conflicts impeding development. There are inevitable tensions between allowing play to emerge as a therapeutic process in its own right and the usual psychoanalytic emphasis on clarification, verbalisation and, above all, interpretation within and about the transference. For many children, the very act of playing carries much of the therapeutic work aimed toward facilitating their return to developmentally appropriate and adaptive psychic functioning. The mobilisation of capacities for play in the analysis allows children to do what is needed for their development to continue and makes use of the developmentally restorative functions of play in the service of therapeutic action.
从一开始，儿童精神分析就将幻想游戏作为洞察儿童内心世界的内容和过程的一扇窗口。由于与行动和初级过程的联系，幼儿的想象游戏富含象征表达，这有助于进行分析性解释干预，以解决阻碍发展的冲突。在让游戏本身作为一种治疗过程自然呈现与精神分析通常强调的澄清、言语化，尤其是对移情进行内在和关于移情的解释之间，存在着不可避免的紧张关系。对许多儿童来说，玩耍这一行为本身就承载着许多旨在促进他们回归到适合发展阶段且具有适应性的心理功能的治疗工作。在分析中调动游戏能力能让儿童去做其发展持续所需之事，并利用游戏在发展方面的恢复功能来服务于治疗行动。
