治療的相互交流における投影性同一視の意義 (松井春満教授定年退官記念号)

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In this paper I discuss the significant role of projective identification as the means of preverbal ommunication from the client to thetherapist in their therapeutic interactions. Projective identification aimed at the communication of the client's internal object world is the central clinical concept of psychoanalysis along with the concept of countertransference among the Contemporary British Kleinians as well as other object-relation theorists. The concept was originally presented by Melanie Klein, the founder of the Kleinian school of psychoanalysis, as the primitive defence mechanism based on unconcious phantasy to expel parts of the self together with painful mental contents, which is characteristic to early mental functions and to the patients with severe personality disorder. W. R. Bion elaborated the concept by differenciating normal function of projective identification from its abnormal denfensive function, and formulated the containing function of the mother which is enabled by her infant's communication by means of projective identification at the preverbal stage. He also aplied the mother-infant interaction model to the analytic situations between the analysand and the analysit. T. Ogden, an American object-relation theorist took further step to formulate projective identification as the universal aspect of transference in which the patient's internal object world is unconciously enacted in his or her interactions with the therapist. The analysts including Bion and Ogden think of the analysts' or the therapists' countertransference, i.e. their psychological state of mind generated by the patients' projective identification, as the means of understanding the patients' communication of their mental contents. They think that the therapists shoud make use of their concious and unconcious thoughts and emotions in understanding what their patients' communicate to them, instead of enacting their roles assigned by the patients according to their internal object relations. I also discuss the concept of empathy from the point of projective identification, which is such an important concept to our clinical practice. Lastly, I go into some discussions about the problems concerning the interpretation of projective identification by comparing the attitudes of the Kleinians with those of Ogden. The Kleinians primarily insist on the analysts' verbal interpretations of the transfered aspects of the patients' interactions with them, though they pay the most careful attention to the timing and accuracy. Ogden recommends more reserved attitudes to the verbal interpretations for the patients in severely disturbed conditions. He pro-poses that the analyst formulate interpretation within his own mind, which he calls "silent interpretation", and wait for the time to come when the patient is ready for verbal interpretations.
奈良女子大学の論文

治療的相互交流における投影性同一視の意義 (松井春満教授定年退官記念号)

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