Ogden T H
Center for the Advanced Study of the Psychoses, USA.
J Am Psychoanal Assoc. 1996;44(4):1121-46. doi: 10.1177/000306519604400407.
In this paper I suggest that the analysis of perversion necessarily involves the elaboration and analysis of a perverse transference-countertransference. Both analyst and analysand contribute to and participate in the perverse transference-countertransference which intersubjective construction is powerfully shaped by the perverse structure of the patient's unconscious internal object world. In the fragment of an analysis that is presented, I illustrate the way in which the analyst makes use of his experience in (of) the transference-countertransference in gaining understanding of the perverse scenario that the patient is utilizing as a form of psychic organization, defense, communication, and object relatedness. I discuss the analyst's use of his own unobtrusive, mundane thoughts, feelings, fantasies, ruminations, sensations, and so on, in the service of understanding the perverse transference-countertransference, which understanding is utilized in the formulation of transference interpretations. The perversity of the transference-countertransference is viewed as deriving from the patient's defensive use of particular forms of sexualization as a way of protecting himself or herself against the experience of psychological deadness. Compulsive erotization is understood as representing a method of creating an illusory sense of vitality. The subversion of the recognition of the experience of psychological deadness is achieved in part through compulsively enlisting others in the enactment of exciting, erotized, and often dangerous substitutes for the experience of being alive.
在本文中,我认为对变态的分析必然涉及对一种变态的移情 - 反移情的阐述与分析。分析师和被分析者都促成并参与了这种变态的移情 - 反移情,其主体间的建构受到患者无意识内在客体世界的变态结构的有力塑造。在呈现的一段分析片段中,我阐述了分析师如何利用他在移情 - 反移情方面的经验来理解患者作为一种心理组织、防御、沟通及客体关系形式所运用的变态情境。我讨论了分析师运用自己不显眼的、日常的想法、感受、幻想、沉思、感觉等,以服务于理解变态的移情 - 反移情,这种理解被用于形成移情解释。移情 - 反移情的变态被视为源于患者对特定性化形式的防御性运用,以此保护自己免受心理麻木体验的影响。强迫性色情化被理解为代表了一种创造虚幻活力感的方法。对心理麻木体验的认识的颠覆部分是通过强迫他人参与令人兴奋、色情化且往往危险的替代活着体验的行为来实现的。