The Wish to Regress 退化的愿望 One of the persistent problems that had to be faced again and again in Gloria's treatment was her wish to regress. It was her wish to retreat from the world and from life and simply to be taken care of by her mother. She did not want to work, she did not want to be on her own. She did not wantto grow up and function as an adult member of society. From time to time she was quite explicit about this infantile wish. Her resistance to therapy was in part motivated by a powerful wish not to surrender her infantile and highly narcissistic wish. My therapeutic efforts made inroads on that wish and posed a threat to it. At several points in her career, Gloria made serious bids to get herself back in the hospital. She stopped taking medications, developed increasingly severe phobias and paranoid anxieties, and became increasingly bizarre and disruptive in her behavior at home. When I made it clear to her that she would have to go to a rather forbidding state hospital near her home and that she could no longer be my patient, she gave up her regressive bid and returned to her usual pattern of behavior. 格洛丽亚在治疗过程中不断面临的问题之一是她想要退化。她的愿望是远离尘世，远离生活，只想被母亲照顾。她不想工作，她不想一个人。她不想长大成人，不想成为社会的一员。她不时把这个幼稚的愿望说得很明白。她对治疗的抗拒部分是出于一种强烈的愿望，不愿放弃她幼稚而高度自恋的愿望。我的治疗努力已经突破了这个愿望，并对它构成了威胁。在她职业生涯的几个阶段，格洛丽亚认真地努力让自己回到医院。她停止服药，发展出越来越严重的恐惧症和偏执焦虑，在家里的行为也变得越来越怪异和具有破坏性。当我向她明确表示，她将不得不去她家附近一家相当令人生畏的州立医院，她不能再做我的病人时，她放弃了退化的努力，恢复了她惯常的行为方式。 But the problem persisted. As therapy progressed the choice became more and more clearly defined for her. She had to choose between the regressive course and the course of increasing maturity and responsibility. The regressive course meant avoiding working in therapy, not gettting better, clinging to her symptoms—primarily phobias, anxieties, and paranoid ideas—and ultimately ending up a mental cripple for life. The progressive course meant working in therapy, giving up her fears and their incapacitating effects, taking charge of her life and starting to work to make it what she wanted. She had not been able to make any such decision; it is one that will be made, if at all, in the course of more years of therapy. But the issue is a primary one in her therapy. 但问题依然存在。随着治疗的进展，她的选择变得越来越明确。她必须在倒退的道路和日益成熟和负责任的道路之间作出选择。退步的过程意味着逃避治疗，没有好转，紧紧抓住她的症状——主要是恐惧、焦虑和偏执的想法——最终导致终生精神残疾。这个渐进的过程意味着在治疗中工作，放弃她的恐惧和它们使人丧失能力的影响，掌控她的生活，开始努力使它成为她想要的。她从来没能做出这样的决定;在多年的治疗过程中，这将是一个将要做出的决定，如果有的话。但这个问题是她治疗的首要问题。