Psychoanalytic Approach 精神分析疗法 The present case is one of the most central in this study. The material was gathered over the course of intensive psychoanalysis through a period of four years. The analysis was conducted on a five-session-per-week basis and was based throughout on more or less classic notions of psychoanalytic therapy. The patient was treated on the couch, and the method of free association and interpretation was employed. It must, therefore, be appreciated that this case is based on material that is both considerably more detailed and voluminous and in many respects qualitatively different from that of the preceding cases. These differences between a more traditionally psychoanalytic and a psychotherapeutic approach, however, offer us an opportunity to inquire into the paranoid process from a somewhat different perspective—one that lends considerable support to the impressions and tentative hypotheses that have emerged in our study to this point. 本案例是本研究中的核心案例之一。相关材料是通过四年时间的密集精神分析过程收集而来的。分析以每周五次会话的频率进行，并始终基于或多或少经典的精神分析治疗理念。患者接受的是躺椅治疗，采用了自由联想和阐释的方法。因此，必须认识到，本案例所依据的材料在细节和数量上都大大超过了之前的案例，并且在许多方面与之前的案例存在质的不同。然而，传统精神分析方法与心理治疗方法之间的这些差异，为我们提供了一个从不同视角探究偏执过程的机会——这一视角为我们的研究中到目前为止所形成的印象和初步假设提供了相当有力的支持。 An important emphasis that the material from this patient provides—as well as the following patient, who was also treated in intensive psychoanalysis—is that the paranoid process operates in significant ways even in patients who are relatively healthy and who can be regarded as potentially good candidates for successful psychoanalysis. The personality structures of the previous patients in this series have all been borderline or psychotic. It was quite clear, however, that Jim possessed a well-established and solidly neurotic character structure. The study of his case, therefore, is particularly interesting in that the paranoid process here displays itself in a much better integrated picture of personality function than we have had opportunity to see to this point. 从这位患者（以及接下来提到的另一位同样接受了密集精神分析治疗的患者）的案例中，我们可以强调一个重要观点：即使在相对健康、且有可能成为成功精神分析治疗的良好候选人的患者中，偏执过程也以显著的方式存在着。本系列之前的患者的人格结构均属于边缘型或精神病型。然而，很明显，吉姆的人格结构是成熟且稳固的神经症型。因此，对他的案例进行研究特别有趣，因为在这里，偏执过程展现出的人格功能图景比我们之前有机会观察到的要更为完整。