Davids J
Anna Freud Centre, London.
Psychoanal Study Child. 1993;48:277-92. doi: 10.1080/00797308.1993.11822388.
Surprisingly little has been written on the impact of the death of a baby on an older sibling. This paper describes how a narcissistically vulnerable latency boy grappled, in the course of his psychotherapy, with the painful loss of his baby brother. Emotional and cognitive aspects of his early confrontation with the reality of death are considered. The patient's six theories about the cot death are described. Attention is drawn to the value of the sibling relationship and to the narcissistic needs which this relationship fulfilled. The termination phase is discussed in the light of the dynamics of sudden loss. The safe therapeutic context provided the space in which this young, rather muddled latency boy could grieve and mourn this traumatic loss.
令人惊讶的是，关于婴儿死亡对其兄长的影响，相关著述甚少。本文描述了一个具有自恋型人格脆弱特质的潜伏期男孩，在心理治疗过程中如何应对弟弟夭折带来的痛苦。文中探讨了他早期面对死亡现实时的情感和认知方面。描述了患者关于婴儿猝死的六种理论。文中还强调了手足关系的价值以及这种关系所满足的自恋需求。根据突然丧失亲人的心理动态，对治疗结束阶段进行了讨论。安全的治疗环境为这个迷茫的潜伏期男孩提供了一个空间，让他能够为这一创伤性的丧失而悲伤哀悼。
