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PSYCHIC REALITY AND PERVERSIONS

机译:心理现实与变态

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摘要

The Chairman opened the panel and drew attention to the differences between the panellists, regarding their theories as well as their patients and styles. The first contributor, Lee Grossman, spoke on 'Psychic reality and reality testing in the analysis of perverse defences'. He distinguished between patients with an intact reality sense, who needed only to be made conscious of a fantasy in order to recognise it as such, and others who avoided testing the reality of their perceptions; his point was therefore that the latter possess a reality sense but refuse to use it, in effect claiming that their psychic reality is just as real as the reality tested. The work of analysis in such cases was consequently less a matter of discovering the patient's psychic reality than of showing him how and why he was actively confusing reality and fantasy. Like the other contributors, Grossman attributed this phenomenon to disavowal, but he also had the original idea that these patients were diverting their attention from undesirable perceptions. In conflictual situations they focused on peripheral, relatively insignificant objects.
机译:主席宣布小组成员开放,并提请注意小组成员之间在理论,患者和风格方面的差异。第一贡献者李·格罗斯曼(Lee Grossman)发表了题为“反常防御分析中的心理现实和现实测试”的演讲。他区分了具有完整现实感的患者和其他避免测试自己的感知的现实的患者,这些患者只需要意识到幻想就可以意识到它。因此,他的观点是,后者具有现实感,但拒绝使用它,实际上声称他们的心理现实与所检验的现实一样真实。因此,在这种情况下的分析工作不是发现患者的心理现实,而是向患者展示他如何以及为何积极地使现实与幻想混淆。像其他贡献者一样,格罗斯曼将这种现象归因于拒绝购买,但他最初的想法是,这些患者将注意力从不良观念转移开来。在冲突情况下,他们专注于外围的,相对微不足道的物体。

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