[Psychoanalytic proposals for a clinical theory].

G Fossi
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Abstract

The principle that increasing the collection of data through an exchange of clinical experience means scientific progress for psychoanalysis is criticized: this can be achieved only by adopting new theories or paradigms. Freudian metapsychology in an unsatisfactory theory because instead of explaining clinical data, it contrasts them but an exclusively empirical theory would limit psychoanalysis. The Author suggests to adopt and develop a structural paradigm. The concept of structure is utilized at neurophysiological level, at psychological structures level and finally in the structuralistic analysis of psychoanalytical multiple narratives. Three types of theories are considered clinically: descriptive, comprehensive (of multiple aims and meanings) and genetic. The articulation of comprehensive and genetic theories with the hypothetical theory level represented by psychological structures is being sought. This different theoretical approach will also involve differences at technical level and the Author deals with this latter aspect by referring to interpretations, transference dreams and pathology.

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[临床理论的精神分析建议]。
通过临床经验的交流来增加数据的收集意味着精神分析的科学进步的原则受到了批评:这只能通过采用新的理论或范式来实现。弗洛伊德的元心理学是一个不令人满意的理论,因为它不是解释临床数据,而是将它们进行对比,但一个专门的经验理论会限制精神分析。作者建议采用并发展一种结构范式。结构的概念被应用于神经生理学层面、心理结构层面,并最终应用于精神分析多重叙事的结构主义分析。临床上认为有三种类型的理论:描述性的、综合性的(有多种目的和意义的)和遗传学的。在以心理结构为代表的假设理论层面上,寻求综合性、遗传性理论的衔接。这种不同的理论方法也将涉及技术层面的差异,作者通过参考解释,移情梦和病理学来处理后一个方面。
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