Fromm M G
Int J Psychoanal Psychother. 1976;5:11-37.
This paper is based on the psychotherapeutic work with a paranoid schizophrenic man during a period of acute psychotic regression lasting approximately two weeks. The author reviews what seemed to be the precipitating factors in the decompensation, then elaborates descriptively and speculatively on two major aspects of ego functioning during the regression, namely, the experiences of fragmentation and of dedifferentiation. The role that seemed to evolve for the therapist is also discussed as it relates to the aforementioned aspects of ego functioning. Finally, a tentative hypothesis is developed concerning pretense as one possible genetic factor in these ego disturbances.
本文基于对一名偏执型精神分裂症男性患者在持续约两周的急性精神病性退行期的心理治疗工作。作者回顾了似乎是失代偿的促发因素，然后对退行期自我功能的两个主要方面进行了描述性和推测性阐述，即碎片化体验和去分化体验。还讨论了治疗师在与上述自我功能方面相关时似乎所发挥的作用。最后，提出了一个关于伪装作为这些自我障碍中一个可能的遗传因素的初步假设。
