万能的坏妄想：一些心理动力学意义和反移情挑战。

Q3 Psychology

American Journal of Psychoanalysis Pub Date : 2025-03-05 DOI:10.1057/s11231-025-09493-x

Paul M Gedo

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引用次数: 0

摘要

本文描述了几个性格紊乱的病人，他们遭受了相当大的童年忽视，随后在他们的根本的坏有意识的信念。这似乎与他们对自己的破坏性有一种夸大的感觉有关，这种感觉反过来又引起了巨大的负罪感，并加强了他们对自己是坏人的肯定。这种妄想的确定性助长了与自我和他人相关的施虐受虐方式以及自我毁灭的关注。本文探讨了不良妄想所服务的多种功能，以及在深入研究这些人时所涉及的技术挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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OMNIPOTENT DELUSIONS OF BADNESS: SOME PSYCHODYNAMIC MEANINGS AND COUNTERTRANSFERENCE CHALLENGES.

This paper describes several character disordered patients who had suffered considerable childhood neglect and who subsequently harbored conscious beliefs in their fundamental badness. This seemed related to a grandiose sense of their own destructiveness, which in turn evoked enormous guilt and reinforced their certainty that they were bad. This delusional certainty fueled sadomasochistic ways of relating to self and others and self-destructive preoccupations. The paper explores the multiple functions which the delusions of badness serve and the technical challenges involved when working in depth with such persons.

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来源期刊

American Journal of Psychoanalysis Psychology-Clinical Psychology

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The American Journal of Psychoanalysis is an international psychoanalytic quarterly founded in 1941 by Karen Horney. The journal''s purpose is to be an international forum for communicating a broad range of contemporary theoretical, clinical, professional and cultural concepts of psychoanalysis and for presenting related investigations in allied fields. It is a fully peer-reviewed journal, which welcomes psychoanalytic papers from all schools of thought that address the interests and concerns of scholars and practitioners of psychoanalysis and contribute meaningfully to the understanding of human experience. The journal publishes original papers, special issues devoted to a single topic, book reviews, film reviews, reports on the activities of the Karen Horney Psychoanalytic Center, and comments.