Brady M T
U.C.S.F. Medical School, San Francisco, CA, USA.
Bull Menninger Clin. 1996 Winter;60(1):79-93.
Freud's initial understanding of "wreckage by success" involved oedipal conflicts. Since that time, preoedipal issues have also been identified as underlying success inhibitions. Work inhibitions in character-disordered patients may be ignored because of our general understanding of how pathological ego and superego functioning interferes in work, as in all areas. However, after significant psychotherapeutic work has been done, the author has often found that such patients have remaining work problems that should be viewed as inhibitions rather than deficits. Separation fears often underlie success inhibitions in more disturbed patients. Careful understanding of work inhibitions in more disturbed patients is crucial, because in many such patients, more freeing of functioning is possible in the work sphere than in intimate relationships. Two cases are presented to illustrate oedipal-level and preoedipal conflicts related to success.
弗洛伊德对“成功导致的破坏”的最初理解涉及俄狄浦斯冲突。从那时起，前俄狄浦斯期问题也被确定为成功抑制的潜在因素。由于我们对病态自我和超我功能在工作及所有领域中的干扰作用有普遍认识，所以性格障碍患者的工作抑制可能会被忽视。然而，在进行了大量心理治疗工作后，作者常常发现这类患者仍存在工作问题，这些问题应被视为抑制而非缺陷。在病情更严重的患者中，分离恐惧往往是成功抑制的潜在因素。仔细理解病情更严重患者的工作抑制至关重要，因为在许多此类患者中，工作领域比亲密关系领域更有可能实现功能的解放。本文呈现了两个案例，以说明与成功相关的俄狄浦斯期和前俄狄浦斯期冲突。
