Blatt S J
Department of Psychiatry, Yale University, New Haven, CT 06519, USA.
J Am Psychoanal Assoc. 1998;46(3):722-52.
Psychoanalysis continues to make important contributions to basic clinical understanding of adaptive and maladaptive psychological development, and particularly to the understanding of depression and its treatment. This paper demonstrates that a basic theoretical conceptualization, central to many of Freud's fundamental contributions, has provided the basis for a wide range of contemporary psychoanalytic and nonpsychoanalytic formulations of personality development and organization; for understanding various forms of psychopathology in adults as deriving from disruptions of normal developmental processes, especially personality disorders and depression; and for conducting research on psychotherapeutic process and outcome in both brief and long-term intensive treatment.
精神分析继续为适应性和适应不良心理发展的基本临床理解做出重要贡献,尤其是在抑郁症及其治疗的理解方面。本文表明,一个基本的理论概念化,是弗洛伊德许多重要贡献的核心,为当代广泛的精神分析和非精神分析的人格发展与组织理论提供了基础;为理解成人各种形式的精神病理学源于正常发育过程的中断,特别是人格障碍和抑郁症;以及为在短期和长期强化治疗中对心理治疗过程和结果进行研究提供了基础。