{"title":"启示录国家的风险。","authors":"Lucinda Ballantyne","doi":"10.1177/00030651241246507","DOIUrl":null,"url":null,"abstract":"<p><p>Patients enter states that in their spontaneity and deep interiority have qualities of the revelatory. I propose we recognize such a state as a clinical event: The person is in a state of intense internal receiving of self. We might think of it as a state of internal communication happening as the person speaks. The person feels real to herself. Her relation to her mind in this revelatory moment is easily intruded on-even by ventures of play. When the state is gone, it is gone. I single out this clinical moment from moments that are cocreated and happening within an analytic third. I argue that in the revelatory moment, a patient builds capacities to be present for pain, desire-for raw experiences ordinarily difficult to access. The state makes a strict demand on the analyst. I see it as a moment of object usage-that is, it is a moment of risk with the analyst. This moment challenges and deepens our understanding of Winnicott's usage formulation.</p>","PeriodicalId":47403,"journal":{"name":"Journal of the American Psychoanalytic Association","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11328447/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Risk of the Revelatory State.\",\"authors\":\"Lucinda Ballantyne\",\"doi\":\"10.1177/00030651241246507\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Patients enter states that in their spontaneity and deep interiority have qualities of the revelatory. I propose we recognize such a state as a clinical event: The person is in a state of intense internal receiving of self. We might think of it as a state of internal communication happening as the person speaks. The person feels real to herself. Her relation to her mind in this revelatory moment is easily intruded on-even by ventures of play. When the state is gone, it is gone. I single out this clinical moment from moments that are cocreated and happening within an analytic third. I argue that in the revelatory moment, a patient builds capacities to be present for pain, desire-for raw experiences ordinarily difficult to access. The state makes a strict demand on the analyst. I see it as a moment of object usage-that is, it is a moment of risk with the analyst. This moment challenges and deepens our understanding of Winnicott's usage formulation.</p>\",\"PeriodicalId\":47403,\"journal\":{\"name\":\"Journal of the American Psychoanalytic Association\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11328447/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the American Psychoanalytic Association\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1177/00030651241246507\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/5/11 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Psychoanalytic Association","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1177/00030651241246507","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/11 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Patients enter states that in their spontaneity and deep interiority have qualities of the revelatory. I propose we recognize such a state as a clinical event: The person is in a state of intense internal receiving of self. We might think of it as a state of internal communication happening as the person speaks. The person feels real to herself. Her relation to her mind in this revelatory moment is easily intruded on-even by ventures of play. When the state is gone, it is gone. I single out this clinical moment from moments that are cocreated and happening within an analytic third. I argue that in the revelatory moment, a patient builds capacities to be present for pain, desire-for raw experiences ordinarily difficult to access. The state makes a strict demand on the analyst. I see it as a moment of object usage-that is, it is a moment of risk with the analyst. This moment challenges and deepens our understanding of Winnicott's usage formulation.
期刊介绍：
The Journal of the American Psychoanalytic Association (JAPA) is the preeminent North American psychoanalytic scholarly journal in terms of number of subscriptions, frequency of citation in other scholarly works and the preeminence of its authors. Published bimonthly, this peer-reviewed publication is an invaluable resouce for psychoanalysts, psychologists, psychiatrists, and other mental health professionals. APsaA member Steven T. Levy, M.D. serves as editor of JAPA. JAPA publishes original articles, research, plenary presentations, panel reports, abstracts, commentaries, editorials and correspondence. In addition, the JAPA Review of Books provides in-depth reviews of recent literature.
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