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THE THREE 'W'S: WHAT, WHERE AND WHEN: THE RATIONALE OF INTERPRETATION

机译:三个“ W”:含义,地点和时间:解释的理由

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The author considers the work of interpreting to be a continuous diagnostic process in which the analyst uses both emotional and intellectual activity. In this paper she discusses three fundamental factors in the mind of the analyst when making interpretations—'what', 'where' and 'when. In 'What' she speaks of the transference relationship as the central core of the interpretation. She understands the transference as an expression of past internal object relationships that for some reason could not develop, and that repeat themselves with their specific affects, anxieties and defences in the patient-analyst relationship. In 'Where' she examines where the patient feels the problem resides: with the analyst or with himself. This depends on the patient's level of functioning. If he is functioning predominantly in a paranoid-schizoid level, the use of projective mechanisms will be considerable and interpretations should be centred in the analyst. When the mode of functioning corresponds mainly to depressive-position level, the patient can feel the problems as his; therefore interpretations should be centred on him. Finally, in 'When the author addresses herself to the factor(s) that help the analyst to integrate the different elements of the patient's communication into a new formulation. A whole session from the analysis of a patient is fully reported and used to illustrate and argue the views espoused in the paper.
机译:作者认为解释工作是一个连续的诊断过程,分析人员在分析过程中同时使用了情感和智力活动。在本文中,她讨论了进行解释时分析师心目中的三个基本因素:“什么”,“何处”和“何时”。她在“什么”中将移情关系作为解释的核心。她将移情理解为过去内部对象关系的一种表达,由于某些原因无法建立这种关系,并且在患者与患者之间的关系中表现出特定的影响,焦虑和防御。她在“哪里”检查患者感觉问题出在哪里:与分析员还是与他本人。这取决于患者的功能水平。如果他主要在偏执狂-精神分裂症水平上发挥作用,那么投射机制的使用将是相当大的,并且解释应集中在分析师身上。当功能模式主要对应于抑郁位置时,患者会感觉到自己的问题。因此,解释应该以他为中心。最后,在“作者发表演讲时,他指出了有助于分析人员将患者交流的不同要素整合到新公式中的因素。完整报告了患者分析的整个过程,并将其用于说明和争论本文所支持的观点。

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