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131.
    
In this paper, I wish to illustrate how working with a patient who had a certain kind of narcissistic difficulty led me to develop particular clinical strategies to facilitate the development of a sturdier sense of self, greater affect tolerance and modulation, the diminution of harshness of her superego, and the ownership of projected parts of herself, and to decrease paranoid ideation. I call upon concepts from various theoretical schools of psychoanalysis to make sense of the dynamic intricacies of the patient's psychological organization as they revealed themselves in the analytic process. These conceptualizations of the patient's difficulties and of clinical interventions to address them result in a hybrid theory of both theory and technique. What transpired in the clinical work also led me to propose an additional way to understand this kind of patient's difficulties with accepting interpretations or any view that differed from the patient's subjectivity. I am proposing that 'otherness' itself, rather than only specific conflictual aspects of the self, is disowned. It is the analyst's empathic stance toward all that is repudiated--the specific disowned aspects of the self and 'otherness' itself--along with empathy for the patient's conscious state that will enable reinternalization and ultimately healing.  相似文献   
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133.
    
This paper submits passages from four papers‐‘Notes on some schizoid mechanisms’ (Klein); ‘On identification’ (Klein); ‘Analysis of a schizophrenic state with depersonalization’ (Rosenfeld); and ‘Remarks on the relation of male homosexuality to paranoia, paranoid anxiety and narcissism’ (Rosenfeld)‐to a critical reading, enabling the theoretical premises which have produced the current, differing views on projective identification to be traced. These views revolve both around the role assigned to identification in the process and around the meaning of the expression‘to identify oneself with’ which in ‘On identification’ goes from ‘to feel similar to, or identical to the other’ to ‘to take another person as a model’. This legitimizes the inclusion of very different phenomena into the concept of projective identification. The author describes some uses of the term ‘projective identification’ and proposes the hypothesis that the process constitutes a way for managing otherness and the separateness of the object (be it external or internal, real or imaginary) that can compromise its reality to a greater or lesser degree. Covering a large set of phenomena, the author poses the question of whether it is useful to retain the term ‘projective identification’. She proposes an answer in the last part of the paper.  相似文献   
134.
    
The author describes how Bion took Freud's conception of dreams as a form of thought and used it as the basis of his theory of transformations. Bion developed an expanded theory of ‘dream thought’, understood as a process of selection and transformation of sensory and emotional experiences. In this theory, the work of analysis is in turn conceived as a process not only of deciphering symbols, of revealing already existing unconscious meanings, but also of symbol production‐of a process for generating thoughts and conferring meaning on experiences that have never been conscious and never been repressed because they have never been ‘thought’. Analysis, in its specific operational sense, becomes a system of transformation whereby unconscious somatopsychic processes acquire the conditions for representability and become capable of translation into thoughts, words and interpretations. The rules of transformation applied by the patient in his representations and those applied by the analyst in his interpretations have the same importance for the analytic process as those described by Freud for the process of dreaming. The author discusses the broad categories of transformation adduced by Bion (rigid motion, projective, and in hallucinosis) and introduces some further distinctions within them.  相似文献   
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The author focuses on some clinical implications of Bion's thought. He takes into particular consideration the great technical importance of Bion's concept of 'waking dream thought'. He also proposes some developments of Bion's thought. Psychoanalytic exercises like those suggested by Bion are presented along with clinical material in order to render the author's theoretical-technical ideas as clear as possible. Furthermore, he deals with the fertile connection between Bion's theories and the fi eld concept in psychoanalysis.  相似文献   
137.
We aimed to analyze the construct and concurrent validity of the Rapid Visual Information Processing (RVP), Paired Associates Learning (PAL), Reaction Time (RTI), and Spatial Working Memory (SWM) tests from the Cambridge Neuropsychological Test Automated Battery (CANTAB®). Inclusion criteria were checked in a first session. The CANTAB and additional pencil-and-paper tests were administered within 1 week. The participants (aged 69–96 years) were 137 Portuguese adults without neuropsychiatric diagnoses and 37 adults with mild-to-moderate Alzheimer’s disease dementia. Comparisons were made between the CANTAB tests and between these tests and the Rey Complex Figure Test (RCFT), Verbal Fluency (VF) test, and some Wechsler Memory Scale-III and Wechsler Adult Intelligence Scale-III subtests. Most intra-test correlations were stronger than the CANTAB inter-test correlations. The RVP correlated more with VF animals (.44), the PAL with RCFT immediate recall (–.52), the RTI with RVP mean latency (.42), and the SWM with Spatial Span backward (–.39).  相似文献   
138.
    
Abstract

Psychoanalysis has almost disappeared from the curricula of most American universities, which I illustrate by the case of the department of psychology at my own university, Harvard. Courses on psychoanalysis are very rare there and it is mostly seen as a part of history of psychology and not as a set of ideas that can be useful nowadays. Personality models developed by Freud or Melanie Klein, as well as many more contemporary psychoanalysts, are, however, still very relevant for the humanities. This is particularly the case for Shakespeare studies and I am trying to show that despite the fact that psychoanalysis can enrich this field, less and less students show interest in it or are willing to admit that they themselves may have unconscious reactions. I focus on the usefullness of the concept of projective identification and propose the thesis that is another name for the activities of theater, and indeed for theater itself.  相似文献   
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Based on a simple nonparametric procedure for comparing two proximity matrices, a measure of concordance is introduced that is appropriate whenK independent proximity matrices are available. In addition to the development of a general concept of concordance and specific techniques for its evaluation within and between the subsets of a partition of theK matrices, several methods are also suggested for comparing and/or for fitting a particular structure to the given data. Finally, brief indications are provided as to how the well-known notion of concordance forK rank orders can be included within the more general framework.Partial support for this research was supplied by the National Science Foundation through SOC-77-28227.  相似文献   
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