Malin A
Int J Psychoanal. 1993 Jun;74 ( Pt 3):505-18.
This paper attempts to explore the understanding of resistance from a self-psychological perspective through presenting a case report. This view is contrasted to the traditional psychoanalytic model which assumes that whatever impedes the analysis is a resistance, and construes such resistance in terms of the drive-defence model. The motivation for this blockade of the analysis is the protection of the ego from anxiety. By contrast, a self-psychological model suggests that 'so called defence-resistances' (Kohut, 1984, p. 141) are required for the protection of the weakened self. There is no blockade of the analytic process; rather, the 'resistance' safeguards the self so that the analysis may continue. The motivation for 'resistance' is to protect the self so that it will be ready to resume development when a safe, attuned selfobject environment is available. In the case presented the patient beseeched the analyst to refrain from speaking. The analyst's dilemma is discussed and the resolution of the resistance is described.
本文试图通过呈现一个病例报告，从自体心理学的角度探讨对阻抗的理解。这种观点与传统精神分析模型形成对比，传统精神分析模型认为，任何阻碍分析的因素都是一种阻抗，并根据驱力-防御模型来解释这种阻抗。这种对分析的阻碍的动机是自我对焦虑的防御。相比之下，自体心理学模型认为，“所谓的防御性阻抗”（科胡特，1984，第141页）是为了保护虚弱的自体而产生的。分析过程并没有受到阻碍；相反，“阻抗”保护了自体，以便分析能够继续进行。“阻抗”的动机是保护自体，以便在安全、协调的自体客体环境出现时，自体能够准备好恢复发展。在呈现的病例中，患者恳求分析师不要说话。文中讨论了分析师的困境，并描述了阻抗的解决方法。
