Glenn J
Int J Psychoanal Psychother. 1976;5:473-87.
Psychoanalytic knowledge of adolescence helps us to understand the protagonists of Peter Shaffer's play Equus. Alan Strang, the seventeen-year-old who maimed six horses, had undergone a retreat from oedipal wishes to narcissism typical of teenagers. His fragile attempts at achieving a sound sense of identity are undermined when his seeking of a noninestuous object produces panic and impotence. Dr. Dysart, the psychiatrist who envies his patient's passion, and fears hurting him through treatment, displays in an exaggerated way countertransferences often seen in therapists of adolescents. In addition, his doubts have some foundation in that the treatment he employs, catharsis, can encourage primitive defenses and the outpouring of uncontrolled, unneutralized drive derivatives. This is more likely to prevent adaptive creativity than the cure the doctor dreads. Finally, some technical problems in dealing with sublimations in psychoanalysis (which is not Dr. Dysart's form of treatment) are discussed.
精神分析对青春期的认识有助于我们理解彼得·谢弗戏剧《恋马狂》中的主角。艾伦·斯特朗,那个残害了六匹马的17岁少年,经历了从俄狄浦斯愿望到青少年典型的自恋的退缩。当他对一个非乱伦对象的追求产生恐慌和无力感时,他为获得健全身份感所做的脆弱尝试就被破坏了。戴萨特医生,这位羡慕他病人的激情且担心治疗会伤害到他的精神病医生,以夸张的方式展现了青少年治疗师中常见的反移情。此外,他的疑虑有一定依据,因为他所采用的治疗方法——宣泄,可能会助长原始防御机制以及不受控制、未被中和的驱力衍生物的倾泻。这更有可能阻碍适应性创造力,而非治愈医生所惧怕的问题。最后,文中讨论了精神分析中处理升华作用时的一些技术问题(这并非戴萨特医生的治疗方式)。