Patients enter states that in their spontaneity and deep interiority have qualities of the revelatory. I propose we recognize such a state as a clinical event: The person is in a state of intense internal receiving of self. We might think of it as a state of internal communication happening as the person speaks. The person feels real to herself. Her relation to her mind in this revelatory moment is easily intruded on—even by ventures of play. When the state is gone, it is gone. I single out this clinical moment from moments that are cocreated and happening within an analytic third. I argue that in the revelatory moment, a patient builds capacities to be present for pain, desire—for raw experiences ordinarily difficult to access. The state makes a strict demand on the analyst. I see it as a moment of object usage—that is, it is a moment of risk with the analyst. This moment challenges and deepens our understanding of Winnicott’s usage formulation.

中文翻译：

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启示性国家的风险

患者进入的状态在他们的自发性和深刻的内在性中具有启示的品质。我建议我们将这种状态视为临床事件：人处于强烈的自我内在接收状态。我们可能会认为这是一个人说话时发生的内部沟通状态。这个人对自己感觉很真实。在这个启示性的时刻，她与自己思想的关系很容易被侵入——甚至是通过玩耍的冒险。当国家消失了，它就消失了。我从分析三分之一内共同创造和发生的时刻中挑选出这个临床时刻。我认为，在启示性的时刻，病人会建立起面对痛苦、渴望的能力——面对通常难以获得的原始体验。国家对分析师提出了严格的要求。我将其视为对象使用的时刻，也就是说，这是分析师面临风险的时刻。这一刻挑战并加深了我们对温尼科特用法公式的理解。