Baruch G
Brandon Centre, London, United Kingdom.
Bull Menninger Clin. 1998 Summer;62(3):298-313.
Detailed clinical material is presented in order to illustrate the challenges associated with carrying out analytic work with disturbed adolescents, and to investigate whether the adolescent's ambivalent responses to analysis are primarily pathological or are inevitable, given the developmental drive to become independent, to find an identity, and to separate from parents. In reviewing the case material in which the adolescent patient's opposition to treatment is primarily treated as a pathological solution, the author suggests that this emphasis was mistaken. Instead, he proposes a perspective that emphasizes the adolescent's healthy propulsion toward autonomy. Finally, the implications for psychoanalytic treatment are considered.
本文提供了详细的临床资料，以说明对行为紊乱的青少年进行分析工作所面临的挑战，并探讨青少年对分析的矛盾反应主要是病理性的，还是鉴于其追求独立、寻找自我身份以及与父母分离的发展动力而不可避免的。在回顾将青少年患者对治疗的抵触主要视为病理性解决方案的病例资料时，作者认为这种强调是错误的。相反，他提出了一种强调青少年健康地追求自主性的观点。最后，还考虑了对精神分析治疗的启示。
