Lax R F
Cornell Medical School, USA.
Psychoanal Rev. 1997 Dec;84(6):843-63.
This is a clinical paper, which includes material from sessions, presenting the process of the analysis of a young adult male whose narcissistic character patterns, related to and evolved from failed attempts to integrate conflicting parental identifications. These unintegrated mother and father identifications contributed to life-long latent homosexual fantasies. Rodney's analysis indicates that for a boy/man, even a mother who has the qualities of a good enough parent, is not good enough to enable him to reach a nonconflicted manhood. A mother cannot provide for the boy the male model he needs and is searching for, the male who would affirm him in his maleness. Rodney wanted a father on whose shoulders he could stand to become a man. Rodney's persistent homosexual fantasy life, his quest for father's love, and his search for a masculine object to identify with stem from a combination of several factors. Rodney's regression to the negative oedipal phase was probably stimulated when father left the family. Rodney was eleven at the time. He felt overwhelmed experiencing himself as the oedipal victor. Unconsciously, Rodney feared his exacerbated incestuous wishes. He projected them upon his mother and subsequently incorporated them in his fantasies. His regression to more infantile dependency feelings was defensive. Rodney's father was an unsuitable object for identification. He was disinterested in Rodney and emotionally unavailable. Rodney, however, sought his father, whose lack of loving acknowledgement resulted in a lack of affirmation of Rodney's masculinity. Mother provided for Rodney the loving acknowledgement he lacked in his relationship with father. She was emotionally sustaining, an energetic, vibrant personality, who was seen by Rodney as a "superior human being." Rodney consciously idealized his mother toward whom he unconsciously also had ambivalent feelings. Rodney's identification with mother was not counterbalanced by the presence of a strong, loving father figure whom he could have used as a suitable model. This led to the development in Rodney of a strong sense of effeminization. Rodney in his homosexual fantasies assumed the so-called "feminine victimized" role. The regression to the negative oedipal phase contributed to an exacerbation of erotic, father-directed feelings, intensified by the identification with mother. Rodney was fixated in his quest for father's love. In addition, Rodney's unconscious guilt related to father and mother directed incestuous impulses, and his intense aggressivesadistic feelings contributed to the masochistic cast of his masturbation fantasies. Rodney's narcissistic aims and the quality of his narcissism changed during the analysis. His grandiosity almost disappeared. Rodney's goals became realistic and he acquired the skills necessary to achieve them. Inhibitions related to the "fear of success" were worked through. This enabled Rodney to compete successfully. His healthy narcissism derives from the success of his many achievements. Though Rodney remained a basically narcissistic personality, he did derive great pleasure from being a giving person. This was one of the many ways in which he identified with his mother. At the present, Rodney's identifications are selective and do not evoke intrapsychic conflict.
这是一篇临床论文,其中包含了一些案例材料,呈现了对一名年轻成年男性的分析过程。该男性的自恋性格模式与整合冲突的父母认同的失败尝试相关且由此演变而来。这些未整合的父母认同导致了终生潜在的同性恋幻想。罗德尼的分析表明,对于一个男孩/男人来说,即使母亲具备足够好的养育品质,也不足以使他顺利成长为没有冲突的成年男性。母亲无法为男孩提供他所需要且一直在寻找的男性榜样,即那个能肯定他男性特质的男性。罗德尼渴望有一个父亲,能让他站在其肩膀上成长为男人。罗德尼持续的同性恋幻想生活、对父爱的追求以及寻找一个可认同的男性客体,是多种因素共同作用的结果。父亲离开家庭时,罗德尼大概十一岁,这可能促使他退行到消极俄狄浦斯阶段。他觉得自己作为俄狄浦斯情结的胜利者不堪重负。潜意识里,罗德尼害怕自己加剧的乱伦愿望。他将这些愿望投射到母亲身上,随后又融入到自己的幻想中。他退行到更幼稚的依赖情感是一种防御机制。罗德尼的父亲是个不适合认同的客体。他对罗德尼不感兴趣,在情感上也无法给予支持。然而,罗德尼寻求父亲的认同,而父亲缺乏爱的认可导致罗德尼的男性特质得不到肯定。母亲给予了罗德尼在与父亲关系中所缺乏的爱的认可。她在情感上给予支持,是个精力充沛、充满活力的人,罗德尼视她为“卓越的人”。罗德尼有意识地理想化母亲,而潜意识里对她也怀有矛盾情感。罗德尼对母亲的认同没有被一个强大、慈爱的父亲形象所平衡,否则他本可以将其作为合适的榜样。这导致罗德尼产生了强烈的女性化意识。在他的同性恋幻想中,罗德尼扮演了所谓“受迫害的女性”角色。退行到消极俄狄浦斯阶段加剧了他对父亲的情欲情感,因对母亲的认同而更加强烈。罗德尼执着于对父爱的追求。此外,罗德尼与父亲和母亲相关的潜意识内疚以及乱伦冲动,还有他强烈的攻击性 - 施虐性情感,都促成了他自慰幻想中的受虐倾向。在分析过程中,罗德尼的自恋目标及其自恋特质发生了变化。他的夸大几乎消失了。罗德尼的目标变得现实,并且他获得了实现这些目标所需的技能。与“害怕成功”相关的抑制因素也得到了解决。这使罗德尼能够成功竞争。他健康的自恋源于他众多成就所带来的成功。尽管罗德尼基本上仍是一个自恋型人格,但他确实从成为一个给予者中获得了极大的乐趣。这是他认同母亲的众多方式之一。目前,罗德尼的认同是有选择性的,不会引发内心冲突。