Cooper A M
New York Hospital-Cornell Medical Center, New York.
J Am Psychoanal Assoc. 1993;41(2):423-42. doi: 10.1177/000306519304100205.
Paranoid defenses appear during most analyses, sometimes with great intensity, but often subtly, and require specific analytic attention. Preoedipal conflicts, inner fears around passivity, narcissistic injury and rage, and subsequent masochistic and projective defenses lie at the core of these patients' pathology. In addition, specific cognitive, object-relational, and affective distortions reflecting multiple developmental levels emerge during analysis. A case vignette is provided to demonstrate the analysis of a neurotic patient without borderline features who showed prominent paranoid formation.
偏执防御在大多数分析过程中都会出现，有时强度很大，但往往很微妙，需要特定的分析关注。前俄狄浦斯期冲突、围绕被动性的内心恐惧、自恋性伤害和愤怒，以及随后的受虐和投射性防御是这些患者病理的核心。此外，反映多个发展水平的特定认知、客体关系和情感扭曲在分析过程中会出现。提供了一个病例 vignette 来展示对一名没有边缘性特征但表现出明显偏执形成的神经症患者的分析。
