精神分析的主体间转向:理论特征与分歧

主体间理论是当代精神分析领域最重要的取向之一。与更传统的精神分析相比,其理论特征表现为从区分“内/外”空间到强调“之间”的空间、从“主体—客体”关系到“主体—主体”关系、从顿悟到行动、从基础主义和实证主义到诠释学和建构主义。尽管存在术语的混乱和观点的分歧,但精神分析的主体间转向几乎遍及各个流派,广泛影响了北美洲、欧洲和拉丁美洲的诸多分析师。未来的主体间理论需要保持开放的态度,持续与先前的理论、临床资料和其他学科领域对话。     

Looking for Whitehead

Saul Kripke in his revolutionary and influential series of lectures from the early 1970s (later published as the book Naming and Necessity) famously resurrected John Stuart Mill's theory of proper names. Kripke at the same time rejected Mill's theory of general terms. According to Kripke, many natural kind terms do not fit Mill's account of general terms and are closer to proper names. Unfortunately, Kripke and his followers ignored key passages in Mill's A System of Logic in which Mill enunciates a sophisticated and detailed theory of natural kind terms that anticipates and is in some ways superior to Kripke's.     

Comments on the Ikonen and Rechardt papers on the death drive and the origin of shame

In this paper, psychoanalysis is viewed as a method in opposition to the reigning spirit of our age with its demands for fast and measurable results. The concept ?the psychoanalytic room” is introduced in order to grasp the uniqueness of psychoanalysis and how it distinguishes itself from what is ordinarily held to be included under the category of work. The psychoanalytic room is explored in both a concrete and metaphoric sense and is discussed in relation to the concept of time, reality, Ogden's concept of the analytic third, and, inspired by Winnicott, children's play. The playroom of the child and its similarity with the analytic room is illustrated by the book ?Benny's Bathtub” by the Danish author Flemming Kvist Møller.     

The Reconstruction of Psychic Trauma

The author discusses the difficulties that arose in the analysis of a female patient suffering from a delusional disorder, where traditional criteria of suitability for psychoanalytic treatment were initially lacking and had to be established as part of the process. The transference-countertransference interaction came to a deadlock, understood by the analyst as due to the patient’s pathological dyadic relating. She was lacking in her capacity of reflective functioning, and there was no potential space to foster a fruitful therapeutic dialogue between analyst and patient. The analyst adopted a bystander perspective as a vantage point from which to comment on the patient’s narrative, whereby she succeeded in gradually altering the dysfunctional dyadic exchange into an interaction where a triadic perspective was introduced as a means to making possible meaningful communication between patient and analyst. Substantial changes were achieved with this procedure as a point of departure. The case study highlights aspects of dyadic versus triadic functioning of the analytic pair, and serves to illustrate theoretical points pertaining to the ongoing debate between professionals on how the basic structural elements of the analytic relationship should be conceptualised.     

Close encounters of the third order kind

This article describes an exercise developed for assessing trainee family therapists' practice at the end of a placement year in a manner consistent with the third‐order positioning the trainees were endeavouring to adopt in their practice. Evaluation by the trainees confirmed that the exercise had provided them with a significant opportunity to co‐construct with the supervisors their practice learning and future learning goals.     

A broad assessment of theory of mind in adolescence: The complexity of mindreading

The aim of this research was to provide an articulated assessment of several different ToM components, namely first- vs. third-person, egocentric vs. allocentric, and first- vs. second-order ToM, in preadolescence and adolescence. Our expectations for the sample of 80 juveniles that participated in the research were that: (1) ToM abilities would improve with age; (2) participants would perform better at first-person than at third-person tasks; (3) participants would perform better at first-order than at second-order tasks; (4) girls will perform systematically better than boys. We also explored possible differences in performance (5) in the allocentric vs. the egocentric perspectives as well as (6) in the comprehension of different types of mental states, namely desires, beliefs and positive and negative emotions. Overall our expectations were confirmed. Our data confirmed that all ToM aspects we investigated keep maturing during preadolescence and adolescence.     

在社区卫生服务中引入第三方介入机制的探索

社区卫生服务是我国卫生体系的重要组成部分。从目前社区卫生服务中公共卫生服务发展缓慢、监督管理体制不健全等问题入手,通过借鉴国外适宜经验,提出在社区卫生服务中引入第三方机制的设想,以此推动社区卫生服务的可持续发展。     

What and How of North American Lutheran Preaching

Abstract : This article suggests that an emphasis on how to preach, evidenced in the New Homiletic, can assist preachers in struggling with questions of what to preach. The narrative model of “problem”→“solution”→“what now?” has potential homiletical ties to Law (2^nd use)→ Gospel→ Law (3^rd use) theology. Since preaching 3^rd use of the Law can lead to a kind of works righteousness for hearers of such sermons, strategies are offered for dealing with preaching challenge. Preachers can put challenge before their hearers as a noun rather than as a verb; they can preach challenge as identification or questioning rather than as something hearers must do of their own accord.