Frenkel R S
Dallas Psychoanalytic Institute, Texas.
Psychoanal Study Child. 1993;48:171-92.
A 6 1/2-year-old girl's clinical material relevant to the emergence of clitoral and vaginal masturbation and masturbation fantasies during analytic sessions is presented. The intense genital excitation, which she called "jeebies," often overwhelmed her ego functioning. She assumed the jeebies and the fantasies that precipitated and accompanied them would cause bad things to happen to her. External events and the nature of her object relations reinforced and confirmed her belief that being only female was unacceptable. Her penis envy, a wish to be a boy-girl, had multiple determinants. A detailed description of her evaluation and subsequent treatment reveals how her unconscious conflicts were resolved in analysis through the evolution and resolution of her transference neurosis, validating the psychoanalytic approach.
本文呈现了一名6岁半女孩在分析治疗期间出现阴蒂及阴道自慰行为和自慰幻想的临床资料。她将强烈的生殖器兴奋称为“紧张不安”，这种兴奋常常使她的自我功能不堪重负。她认为这种紧张不安以及引发并伴随而来的幻想会给她带来不好的事情。外部事件以及她客体关系的性质强化并证实了她认为身为女性是不可接受的信念。她的阴茎嫉羡，即想成为兼具男孩和女孩特征的愿望，有多种决定因素。对她的评估及后续治疗的详细描述揭示了她的无意识冲突如何在分析过程中通过其移情神经症的演变和解决而得到解决，从而验证了精神分析方法。
