迷宫:寻找通过防御的出路
Maria Inês Neuenschwander Escosteguy Carneiro1
1Rio de Janeiro.
The International journal of psycho-analysis
|January 29, 2025
概括
这篇精神分析案例研究探讨了一个12岁男孩的投射驱逐功能,使用迷宫隐喻来描述他的复杂防御和转移动态. 分析从视频演变为面对面的会议.
科学领域:
- 精神分析心理学 精神分析心理学
- 儿童精神病学 儿童精神病学
- 临床心理学 临床心理学
背景情况:
- 本案例研究检查了一名12岁的男孩,通过粗鲁和粗俗的语言表现出投射驱逐功能.
- 分析利用克里特迷宫的比喻来说明患者的病态组织防御和治疗过程.
研究的目的:
- 在精神分析框架内分析儿科患者的投射驱动功能.
- 在长期分析中探索转移和治疗框架的演变.
- 用于描述通过不同方式 (视频和面对面) 进行的临床病例.
主要方法:
- 一个为期三年的精神分析案例研究一个12岁的男孩.
- 利用迷宫隐喻来概念化患者的内部世界和防御.
- 通过两种方式进行分析:在疫情期间进行初始视频会议,每周三次过渡到面对面会议.
主要成果:
- 分析了患者的投射驱动功能,其特点是强烈和粗俗的语言.
- 治疗过程包括在类似于迷宫的结构中面对困难.
- 观察到不够包含的原始父对象的内投射和强烈的投射.
- 转移的标志是显著的仇恨和失禁.
- 治疗框架逐渐从恶劣转变为更加适应.
结论:
- 在这种情况下,迷宫隐喻有效地捕捉了复杂的防御和治疗之旅.
- 双模式方法 (视频和面对面) 证明了精神分析治疗中的适应性.
- 该分析强调了儿童心理病理学中内射,投射和转移的动态相互作用.
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