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首页> 外文期刊>The International Journal of Psychoanalysis >A PARTICULAR PERSPECTIVE ON IMPASSES IN THE CLINICAL SITUATION: FURTHER REFLECTIONS ON PSYCHOANALYTIC LISTENING
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A PARTICULAR PERSPECTIVE ON IMPASSES IN THE CLINICAL SITUATION: FURTHER REFLECTIONS ON PSYCHOANALYTIC LISTENING

机译：临床障碍的特殊视角：对心理分析听觉的进一步反思

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摘要

We tend to think of impasses as manifest, if often puzzling events, but they may also occur quietly, disguised. The analytic process may seem to be moving on course—yet, on further glance, there can be subtle evidence that some impasse, at times just emerging, may be, perhaps collusively, evaded. Often outside the patient's awareness, cues to its occurrence may be expressed in the vicissitudes of affect or state or shift in content. When such phenomena go unnoted as vital communications, ultimately, a more dramatic eruption may take place; or, perhaps more insidiously, some central conflictual feature of the patient's character continues unexamined, unabated. The author suggests an alteration in how we think about impasses—how pervasive they may be, even as we may believe we are seeing the ordinary ebbs and flows of resistances and defensive processes. Drawing upon four clinical examples, the effort is made to elucidate the link between our understanding and recognition of the presence of an impasse and our mode of analytic listening.
机译：我们常常认为僵局是显而易见的，即使经常令人费解的事件也可能发生，但它们也可能悄悄地变相发生。分析过程似乎正在进行中，但是，再看一眼，可能有微妙的证据表明，某些僵局（有时只是刚刚出现）可能会被共谋规避。通常会在患者意识之外，提示其发生的线索是情感或状态的变迁或内容的变化。当这种现象被忽略为至关重要的交流时，最终可能会发生更加戏剧性的喷发。或者，也许更阴险的是，患者性格的某些中心冲突特征仍在未经审查，没有减弱。作者建议改变我们对僵局的看法-僵局可能多么普遍，尽管我们可能认为我们正在看到抵抗和防御过程的普通潮起潮落。借鉴四个临床实例，我们努力阐明我们对僵局的理解和认识与我们的分析性聆听模式之间的联系。

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