Themes 主题 This first session revealed a considerable amount. She was obviously anxious, and in her anxiety many of her pervasive concerns were manifested. She was guarded and worried about the problem of having to submit in the analysis, but yet at the same time worried about offending me or hurting my feelings. The comment on the "van Gogh"print on my wall reflected her need to see the analysis as something special and valuable. Her references to the suicidal woman in the television program and the remarkable similarities to her own difficulties suggested the underlying depression with which she was struggling. It also enunciated themes which were to work themselves out through the course of the analysis, particularly the theme of individual difficulties as opposed to social and cultural expectations, as well as the parallel theme of internal conflicts as opposed to external forces. Karen was unsure whether she would have to accept the blame for her problems herself or whether she would cast the blame on circumstances and persons in her environment. Related to this she also enunciated the problems of being a career woman and what that might mean to her. 第一次谈话揭示了相当多的情况。她显然很焦虑，在她的焦虑中，她的许多无处不在的担忧都表现出来了。她很警惕，担心必须在分析中提交的问题，但同时又担心冒犯我或伤害我的感情。她对我墙上那幅“梵高”作品的评论，反映出她需要把分析视为一种特殊而有价值的东西。她提到电视剧中自杀的女人，以及她自己的困难与之惊人的相似之处，都表明她正在与潜在的抑郁症作斗争。它还阐明了将在分析过程中自行解决的主题，特别是与社会和文化期望相反的个人困难的主题，以及与外部力量相反的内部冲突的平行主题。卡伦不确定自己是否要为自己的问题承担责任，还是要把责任归咎于周围的环境和人。与此相关，她还阐述了作为职业女性的问题，以及这对她可能意味着什么。 Also extremely important in her pathology was the theme of the victim and the victimizer, again a focus of considerable anxiety and difficulty for her. She portrayed herself as the disadvantaged victim of things that had happened around her. She was able to focus this particularly in relationship to her parents, focusing on her mother's role as the martyr in the family and on mother's capacity for eliciting guilt in her. She also made it clear that she was very upset about things that had happened to her father, and immediately placed these calamities in conjunction with her own taking money from her parents. This suggested the ease with which her guilt was mobilized and the importance it assumed in her pathology. 在她的病理学中同样非常重要的是受害者和迫害者的主题，这也是她相当焦虑和困难的焦点。她把自己描绘成周围发生的事情的弱势受害者。她能够把重点放在与父母的关系上，把重点放在母亲作为家庭中的殉道者的角色上，以及母亲在她身上引发内疚感的能力上。她还明确表示，她对发生在她父亲身上的事情感到非常难过，并立即把这些灾难与她自己从父母那里拿钱联系起来。这表明她的罪恶感很容易被激起，而且在她的病理中具有重要的地位。 Finally, at the end of the session she began to refer more directly to the process of analysis and evinced her concerns about it. Particularly noteworthy was her resistance to the notion of the unconscious and to that of penis envy. She felt deeply concerned about any theoretical imposition which the analysis or the analyst might make upon her which would reduce her to some lesser common denominator. All of these themes were to be endlessly repeated and rehearsed throughout the course of her analysis. 最后，在会谈结束时，她开始更直接地提到分析过程，并表示她对此感到关切。特别值得注意的是，她对无意识的概念和对阴茎嫉妒的概念的抵制。她对分析或分析人员可能对她作出的任何理论假设深感忧虑，因为这些假设会使她约减到某种较为平凡的状态。所有这些主题都将在她的分析过程中不断地重复和排练。