ABSTRACT This paper describes the case of a man diagnosed with attention deficit hyperactivity disorder (ADHD) since childhood who struggled to engage in a transition from psychotherapy to psychoanalysis. The analyst’s efforts to establish an analytic frame did not take into account the ways in which his development and adulthood were both compromised by the presence of ADHD. Despite the patient’s intentions to immerse himself in analytic treatment, his actions and associations revealed a resistance to observing himself. With a retrospective lens, the author considers how she might have engaged with him in a manner that better accounted for his narcissistic vulnerability, weaknesses in affect regulation, and executive dysfunction.

中文翻译：

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分析开始阶段多动症带来的技术挑战：候选人的思考

摘要本文介绍了一个自童年以来就被诊断患有注意力缺陷多动障碍（ADHD）的男子的案例，该男子努力进行从心理治疗到精神分析的过渡。分析师建立分析框架的努力并未考虑到多动症的存在会损害他的成长和成年。尽管患者打算将自己沉浸在分析治疗中，但他的行为和联想却显示出对观察自己的抵抗力。通过回顾的角度，作者考虑了她如何与他交往，从而更好地解释了他的自恋脆弱性，情感调节方面的弱点以及执行功能障碍。