Ogden T H
Int J Psychoanal Psychother. 1976;5:437-47.
Among students seen is psychoanalytic psychotherapy, there is a group who present the paradoxical clinical picture of great academic success alongside of quite primitive features in other aspects of their psychological functioning. This article offers an early developmental formulation of this aspect of these students. A clinical description of these patients is presented, including the observation that for each the early mother-child relationship seems to have been characterized by a predominant focus on maternal needs. A case history and summary of therapy of one of these students is discussed. Aspects of the mother-child relationship are explored by means of historical data, memories, and most important, through various transference and countertransference manifestations. The nature of this early relationship is then discussed in terms of the work of Donald Winnicott and Masud Khan. Finally, an overview of therapy is presented along with a discussion of some forms of resistance and some countertransference problems that often arise in the course of therapy with such students.
在接受精神分析心理治疗的学生中，有一群人呈现出一种矛盾的临床图景：他们在学业上取得了巨大成功，但在心理功能的其他方面却有着相当原始的特征。本文对这些学生的这一方面进行了早期发展性阐述。文中呈现了对这些患者的临床描述，包括观察到对于每一个患者来说，早期的母婴关系似乎都以主要关注母亲的需求为特征。讨论了其中一名学生的病例史和治疗总结。通过历史数据、记忆，最重要的是通过各种移情和反移情表现来探索母婴关系的各个方面。然后根据唐纳德·温尼科特和马苏德·汗的著作来讨论这种早期关系的性质。最后，概述了治疗方法，并讨论了在对这类学生进行治疗过程中经常出现的一些抵抗形式和一些反移情问题。
