Fabricius J
Anna Freud Centre, London.
J Am Psychoanal Assoc. 1998;46(1):105-20.
Analytic work with a depressed twenty-three-year-old woman is presented showing how she used ruminative thoughts to maintain a fixed internal dyadic relationship in which neither self not object had autonomy. The resulting omnipotent/impotent impasse meant that she was unable to move forward in her development. In the analysis this relationship was externalized through her use of words, which were employed as actions designed to have a concrete effect on both her self and her analyst. For a long period in the analysis it was essential to understand and interpret the function of her words, rather than to look for symbolic meaning, and it was this which gradually enabled her to take a third, observing, position from which she had greater freedom to operate as a adult.
本文呈现了对一位23岁抑郁症女性的分析工作，展示了她如何运用反复思考的想法来维持一种固定的内在二元关系，在这种关系中，自我和客体都没有自主性。由此产生的全能/无能僵局意味着她无法在自身发展中取得进展。在分析过程中，这种关系通过她对言语的运用被外化，这些言语被用作旨在对她自己和分析师都产生具体影响的行为。在分析的很长一段时间里，理解和解释她言语的功能至关重要，而不是去寻找象征意义，正是这一点逐渐使她能够采取第三种观察性的立场，从这个立场出发，她作为成年人有了更大的行动自由。
