Settlage C F
University of California, San Francisco.
J Am Psychoanal Assoc. 1993;41(2):473-92. doi: 10.1177/000306519304100207.
This paper holds that the analytic relationship embodies both therapeutic process and developmental process, that these processes are best viewed as different and separate, and that they function in a complementary way in the revision of pathologically impaired and underdeveloped psychic structure. The focus of the paper is on the developmental formation and clinical restructuring of object and self constancy. The illustrative case material is excerpted from the case of a man who returned for additional treatment five years after the completion of an apparently successful analysis of his neurotic conflicts.
本文认为，分析性的关系既体现了治疗过程，也体现了发展过程，最好将这些过程视为不同且相互独立的，并且它们在修复病理受损和发育不全的心理结构中以互补的方式发挥作用。本文的重点是客体恒常性和自我恒常性的发展形成与临床重构。说明性的案例材料摘自一名男子的案例，该男子在其神经症冲突的分析看似成功完成五年后回来接受进一步治疗。
