Caper R
Psychoanal Q. 1997 Jan;66(1):18-33.
Beginning with Freud's concept of psychic reality as the product of external events and the patient's unconscious fantasies, the author suggests that projective identification, as described by Klein, gives an account of how these two elements combine to produce one's psychic reality. The transference is an aspect of psychic reality that represents a confusion between the patient and one of his or her objects--the analyst--brought about by projective identification. A clinical example illustrates how the patient's transformation of the analyst's interpretations through projective identification contributes to the transference. Analysis of the transference in the analytic relationship allows patients to experience their role in the formation of their experience of the world, "live" and as it happens. This promotes the integration of the patient's personality. The author compares this approach with other approaches to the transference.
从弗洛伊德将心理现实视为外部事件与患者无意识幻想之产物的概念出发，作者认为，正如克莱因所描述的那样，投射性认同解释了这两个要素如何结合以产生一个人的心理现实。移情是心理现实的一个方面，它表现为患者与他或她的一个客体——分析师——之间因投射性认同而产生的混淆。一个临床例子说明了患者如何通过投射性认同对分析师的解释进行转化，从而促成移情。对分析关系中的移情进行分析，能让患者体验到他们在构建自身对世界的体验中所扮演的角色，即“实时地”体验。这促进了患者人格的整合。作者将这种方法与其他处理移情的方法进行了比较。
