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后俄狄浦斯期转变:潜伏期、青春期与发病机制。

Postoedipal transformations: latency, adolescence, and pathogenesis.

作者信息

Novick K K, Novick J

机构信息

Michigan Psychoanalytic Institute.

出版信息

J Am Psychoanal Assoc. 1994;42(1):143-69. doi: 10.1177/000306519404200108.

Abstract

There is a tendency in psychoanalysis to seek ever earlier determinants of pathology. One effect of this search is to relegate adult memories of latency and adolescence to serving mainly a defensive screen function. Psychoanalytic material from child and adolescent cases is used in this paper to illuminate postoedipal developmental transformations. These findings are applied to the understanding and technique of work with adults. Alertness to latency elements can affect the timing of interpretations, the understanding of neurosogenic factors, and the forces for health available in the patient's personality. Alertness to adolescent phenomena highlights the adult patient's difficulty in integrating adolescent realities with childhood fantasy solutions to preoedipal and oedipal conflicts. We conclude that no one phase has preeminence over others, that earlier is not necessarily more important, and that there cannot be pure recapitulation, revival, or "reanimation" (Freud, 1925) of the past in the present. However, knowledge of the transformations appropriate to each phase in the past gives us additional access to the determinants and functions of the patient's pathology in the present, increases the specificity of genetic interpretation, and gives both patient and analyst greater conviction about the accuracy of the essential analytic work of reconstruction.

摘要

在精神分析领域,有一种倾向是寻求病理学越来越早期的决定因素。这种探寻的一个结果是,将潜伏期和青春期的成人记忆主要降格为起防御性屏蔽作用。本文运用儿童和青少年病例的精神分析素材来阐明俄狄浦斯期后的发展转变。这些发现被应用于对成人的理解以及与成人工作的技巧中。对潜伏期元素保持警觉会影响解释的时机、对神经源性因素的理解,以及患者人格中可利用的健康力量。对青少年现象保持警觉则凸显了成年患者在将青少年现实与童年针对前俄狄浦斯期和俄狄浦斯期冲突的幻想解决方案进行整合时所面临的困难。我们得出结论,没有一个阶段比其他阶段更具优越性,早期的不一定更重要,而且过去不可能在当下进行纯粹的重演、复苏或“复活”(弗洛伊德,1925)。然而,了解过去每个阶段所特有的转变,能让我们更多地了解患者当前病理学的决定因素和功能,提高遗传解释的特异性,并让患者和分析师对重建这一基本分析工作的准确性更有信心。

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