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WEISS 2014 投射认同的五阶段模型 - 1

王静华2016-4-13 13:39
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这是德国心身科医生Heinz Weiss于2014年发表在《The International Journal of Psychoanalysis》的一篇论文,由李孟潮老师在《心之母体》的课程上推荐给大家!因对投射与投射认同感兴趣,所以就一边看、一边想、一边翻译,如果有发现翻译问题,请不吝赐教—— 发现遇到德文这类字符,保存时会有问题,所以部分德文的特殊字符有做改变。

Projective identification and working through of the countertransference: A multiphase model1 

投射性认同及反移情修通之多(五)阶段模型

Heinz Weiss 海因兹·韦斯

Abteilung fur Psychosomatische Medizin, Robert-Bosch-Krankenhaus,Auerbachstrasse 110, D-70376 Stuttgart, Germany – heinz.weiss@rbk.de

(Accepted for publication 11 March 2014)

Referring to Melanie Klein’s unpublished views on projective identification, Bion’s theory of container/contained(容器/涵容物) and Money-Kyrle’s蒙利·凯里understanding of countertransference as a process of transformation, the author develops a multiphase model of projective identification.He differentiates five subphases of (1) adhesion, (2) penetration, (3) linking of the projection with an internal object of the analyst, (4) transformation and (5) re-projection. In the author’s view the differentiation of overlapping subphases may be helpful to better localize problems of working through the countertransference.Some technical implications are illustrated by brief clinical vignettes.To conclude, the paper discusses typical impasses and options for interpretation. 
 通过参考梅兰妮·克莱因未公开发表的投射性认同的观点,比昂的容器/涵容物的理论,蒙利·凯里对转化过程中反移情的理解,本文作者发展了投射性认同的多阶段模型。在这个模型中,他细分出5个子阶段,(1)依附;(2)渗入;(3)将投射物与分析者内在客体联结;(4)转化;(5)再投射。作者认为,将这些细分的阶段看成是互相叠加的将更有助于更好地找到修通反移情的问题的方法。 并通过简短的临床片段来阐述技术性含义。文末,论文涉及了典型的困境和诠释抉择。

Keywords: countertransference, projection, projective identification 关键词:反移情,投射,投射性认同

Introduction

The term ‘projective identification’ has a long history since it was first used by Edoardo Weiss in his paper UBber eine noch nicht beschriebene Phase der heterosexuellen Liebe (Weiss E, 1925; see Steiner R, 1999). It was in the 1930s and 1940s that, departing from the work of Freud, Ferenczi (1909, 1913) and Abraham (1912, 1920, 1924), a growing interest in the processes of pathological projection, identification and identification became obvious in different psychoanalytic schools and writers (see Weiss and Frank, 2007). Money- Kyrle (1932, pp. 175–7) pointed out that projection may be accompanied by the loss of parts of the self; Brierley (1945) used the term ‘projective identification’in a slightly different sense (see Spillius, 2007, p. 131); and Knight (1940) examined the relationship between projection, envy and the loss of separateness.However, it was Melanie Klein who explored pathological projection in her early child analysis (Klein, 1932; see Frank, 1999) in great detail and introduced the concept of projective identification together with normal and pathological splitting in her new model of the human mind (Klein, 1946). 
自从投射认同由Edoardo Weiss 在其论文“关于还未描述的异性恋爱阶段” (Weiss E, 1925; see Steiner R, 1999).中被首次使用,已经有一段历史了。就是在三四十年代,不再遵循弗洛伊德,费伦齐(1909, 1913)和亚伯拉罕(1912, 1920, 1924)的理论,病理性投射和认同的过程得到越来越关注,在不同的精神分析学院及其作者中越来越常出现。蒙利·凯里(1932, pp. 175–7)指出认同可能伴随着部分自体的丧失;贝里(1945)以一种略微不同的定义使用“投射认同”这个术语(see Spillius, 2007, p. 131)Knight (1940)比较了投射、嫉羡和分离带来的丧失感之间的关系。可是,是梅兰妮·克莱因在其早期儿童精神分析中非常详细地探索了病理性投射(Klein, 1932; see Frank, 1999),并在她关于人类心灵新模型中一并引入了投射性认同、正常分裂和病理性分裂。

Developing from Klein’s seminal contribution projective identification is a complex issue which covers such heterogeneous fields as primitive forms of communication, the operation of defence organizations and the understanding of countertransference in the psychoanalytic situation. My thinking on this latter point has been prompted by three ideas. The first is Melanie Klein’s unpublished views on projective identification; the second is W. R. Bion’s (1962b) theory of container/contained; and the third is R. Money- Kyrle’s (1956) view of the countertransference as a process of transformation (see Weiss, 2003b). On the basis of these ideas I will develop a complex model of projective identification which will have multiple phases and multiple processes. The complexity should permit me to pinpoint more accurately the difficulties of working through the countertransference.

从克莱因这一开创性的贡献开始,投射认同成为一个复杂的主题,涵盖不同的领域,涉及原始沟通形式、防御组织的运作和在精神分析场景中对反移情的理解。针对在精神分析场景中对反移情的理解,我的思考是由三个人的研究所引发。第一个是梅兰妮·克莱因未公开发表的投射性认同的观点,第二个比昂(1962b)的容器/涵容物的理论,第三个蒙利·凯里(1956)对转化过程中反移情的理解(see Weiss, 2003b)基于他们的想法之上,我将发展一个综合的多阶段多过程的投射性认同模型。其复杂性应该可以使得我更准确精确地描述出修通反移情的困难性。

Although the following paper refers primarily to papers by Kleinian authors, as they were the source of the original concept (Klein, 1946; see Weiss and Frank, 2007; Spillius and O’Shaughnessy, 2012), there have been scholars of different psychoanalytic schools who have worked on and further developed the concept of projective identification (Ogden, 1979; Sandler, 1987). The same accounts for the advances in the understanding of countertransference (Frank and Weiss, 2003; Gabbard, 1995; Plenker, 2005).

虽然作为投射认同概念的来源,接下来主要是参考克莱因学派的作者的论文(Klein, 1946; see Weiss and Frank, 2007; Spillius and O’Shaughnessy, 2012),但是不同精神分析学院的学者们一直致力于并进一步发展了对这个概念的理解(Ogden, 1979; Sandler, 1987)。这同样也说明在反移情理解的所取得的进展(Frank and Weiss, 2003; Gabbard, 1995; Plenker, 2005)

(待续...)


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