Role of Parents 父母的角色 Ann was capable of recognizing and expressing some of her intense hatred for her mother. She rejected and reviled everything that her mother stood for. She struggled to make herself everything that the mother was not. Where mother was loud, pushy, aggressive, domineering, and intrusive, Ann strove to make herself quiet, unobtrusive, passive, inhibited, withdrawn. Her adopting this inept and passive position also served the important function of hiding and masking her murderous impulses—particularly against her mother. At the same time, Ann had accepted and in fact embodied her mother's critical and devalued perception of her. She lived out in her illness the distorted and deviant perception of herself that her mother had continually thrust on her. 安娜能够识别并表达她对母亲的一些强烈的仇恨。她拒绝并辱骂她母亲所主张的一切。她努力使自己成为母亲所不具备的一切。母亲吵闹、咄咄逼人、好争斗、盛气凌人、具有侵入性,而安娜却竭力使自己安静、不唐突、被动、拘谨、孤僻。她采取这种无能和被动的立场也起到了隐藏和掩盖她的杀人冲动的重要作用,特别是对她母亲。与此同时,安娜已经接受了,事实上也体现了她母亲对她批判和贬低的看法。她在疾病中活了下来,摆脱了母亲不断强加给她的对自己的扭曲和不正常的看法。 The parents' responses to the efforts to treat Ann were interesting and characteristic. The father remained distant and relatively uninvolved. Whatever contacts there were found him to be quite guarded and distant. He was suspicious of hospitals and psychiatrists, and did not trust their motives. He was constantly busy intellectualizing about Ann's difficulties in a superficial way. He made it abundantly clear that he felt threatened by psychiatrists. He needed to absolve himself of any part of Ann's illness and responded to questions quite defensively, as though they were accusations of inadequacy on his part or of some responsibility of his own for her illness. He was quick to blame his wife whenever the opportunity arose. 父母对治疗安娜的反应很有趣,也很有特色。父亲仍然保持着距离感,相对来说也不参与其中。无论哪次接触,都发现他十分谨慎和疏远。他对医院和精神病医生持怀疑态度,不相信他们的动机。他总是忙于用一种肤浅的方式来思考安娜的困难。他非常明确地表示,他感到受到精神病学家的威胁。他需要为自己免除安娜患病的任何责任,他对问题的回答相当具有防御性,就好像这些问题是对他自身不足的指责,或者是对安娜患病负有某种责任。他一有机会就马上责备妻子。 Ann's mother was a source of difficulty all through the course of Ann's treatment, not only in these early stages but in the later stages as well. She would constantly write letters to involved hospital personnel, would make frequent telephone calls to doctors and social workers involved in the case, was continually making complaints about not being included in the treatment, about not knowing what was going on. This activity was quite undermining and threatening for Ann. It made the mother a constant threat to her treatment and a constant preoccupation. Ann could never quite reassure herself that the doctors were not in collusion with her mother. She repeatedly and endlessly questioned whether what she might say in therapy would be repeated to her mother. She repeatedly would ask whether any comment or suggestion of the therapist, or any administrative change, had been instigated by her mother. She was constantly preoccupied, consequently, over whether anything that was done for her by the therapist or hospital staff was motivated by the malignant wishes she attributed to her mother. 安娜的母亲在安娜的整个治疗过程中都是一个困难的来源,不仅在早期阶段,在后期阶段也是如此。她经常给相关的医院工作人员写信,经常给涉及到这个病例的医生和社会工作者打电话,不断抱怨没让她参加治疗,她不知道发生了什么。这种行为对安娜来说相当具有破坏性和威胁性。这使母亲对她的治疗产生了持续的威胁,并使她始终全神贯注。安娜无法使自己确信医生们没有与她母亲勾结。她不断地、无休止地质疑自己在治疗过程中可能说的话是否会被母亲听到。她会反复询问,治疗师的任何评论或建议,或任何管理上的改变,是否都是她母亲煽动的。因此,她一直在想,治疗师或医院工作人员为她做的任何事情,是否都是出于她母亲的恶意愿望。 The pathological influence of the parents was unmistakable. Paranoid attitudes and projections played a prominent role in both parents. The father was guarded, suspicious, and engaged in frequent displacement of responsibility, particularly in his eagerness to cast blame on his wife. His attitude to Ann was seductively supportive and caring, but was clouded by his need to ally himself with her against his wife. Ann's mother was clearly the primary persecutor who was continually controlling, intruding, and pressuring Ann to submit to her demands and expectations. Her demanding intrusion was a constant threat to Ann's autonomy and to the viability of her therapy. 父母的病态影响是显而易见的。偏执的态度和投射在父母双方都扮演着重要的角色。父亲为人谨慎,多疑,经常推卸责任,尤其是急于把责任推给妻子。他对安娜的态度是诱惑性的支持和关心,但他需要与她联合起来反对他的妻子,这给他蒙上了阴影。很明显,安娜的母亲是主要的迫害者,她不断地控制、侵扰和迫使安娜服从她的要求和期望。她的要求不断地威胁到安娜的自主权和治疗的可行性。