Kulish N
Psychoanal Q. 1996 Jul;65(3):465-94.
Conversion from psychotherapy to psychoanalysis and the differences between the two have been the subject of discussion and controversy in recent years. The theoretical and technical questions that have been raised suffer from the lack of detailed clinical accounts that might help to elucidate the processes involved. The author presents a case of a woman whose refusal to use the couch for three years became a central organizing resistance and took on the structure of a phobia. It is argued that the case, rather than a conversion from psychotherapy to psychoanalysis, was one of psychoanalysis from the beginning, with the conflicts about the couch analyzed as are any other resistances.
从心理治疗转向精神分析以及两者之间的差异在近年来一直是讨论和争议的主题。所提出的理论和技术问题因缺乏有助于阐明相关过程的详细临床描述而受到影响。作者呈现了一个案例，一名女性三年来拒绝使用躺椅成为了核心的组织性阻抗，并呈现出恐惧症的结构。有人认为，该案例从一开始就是精神分析案例，而非从心理治疗转向精神分析，躺椅相关的冲突与其他任何阻抗一样都得到了分析。
