Boyer L B
Psychoanal Q. 1997 Jan;66(1):62-81.
The psychoanalytic treatment of the seriously disturbed patient depends on working through the countertransference. If the analyst regresses without debilitating anxiety to early levels of psychic development, as does the analysand while reliving his or her early traumatic psychic development, both analyst and analysand may be able to enter states of reverie simultaneously and to communicate with one another in a type of verbal squiggle game. In this variant of Winnicott's written squiggle game, each may easily communicate with the other with quick shifts from the autistic-contiguous, paranoid-schizoid, and depressive positions. During such unusual periods of exquisite understanding, very early pathological experiences can be relived, understood, and repaired.
对严重精神障碍患者的精神分析治疗依赖于对反移情的处理。如果分析师能在不产生削弱性焦虑的情况下退行到早期心理发展水平，就像被分析者在重温其早期创伤性心理发展时那样，那么分析师和被分析者或许能够同时进入幻想状态，并在一种言语涂鸦游戏中相互交流。在温尼科特书面涂鸦游戏的这种变体中，双方可以轻松地在自闭 - 相邻、偏执 - 分裂和抑郁状态之间快速切换，从而相互交流。在这种极度理解的特殊时期，可以重温、理解并修复非常早期的病理体验。
