ABSTRACT This paper explores the organizing effect of a relatively minor congenital medical condition on the development of an 8-year-old girl; the role of creative play in the integration of what she experienced as traumatic; and finally, the role of play as facilitating her progressive development. Despite full recovery from her medical condition, the patient’s limitations in mobility between the ages of 1 and 4 profoundly affected her image of herself and her sense of self-worth. The central character in her symbolic play also suffered from mobility restrictions and the changes in the doll’s capacity to use her legs closely corresponded to the changes in the patient’s self-representation. Detailed clinical material of the nine-year-long analysis focuses on the development-promoting role of creative play. It also features the transition from imaginative play to direct discourse, and the course of the successful termination of her analytic treatment. The interpretive work involving the patient’s neurotic conflicts is highlighted within this context.

中文翻译：

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在演奏结束前不进行演奏判断：创造性演奏在治疗具有先天性障碍史的儿童中的作用

摘要本文探讨了相对较小的先天性医学疾病对一个8岁女孩的发育的组织作用。在整合她所经历的创伤方面，创造性发挥着作用；最后，扮演角色有助于她的逐步发展。尽管患者的病情已完全康复，但患者在1至4岁之间的活动受限严重影响了她的自我形象和自我价值感。她的象征性游戏中的中心人物也受到行动不便的限制，而玩偶使用双腿的能力的变化与患者自我表现的变化密切相关。长达九年的分析的详细临床材料侧重于创意游戏对发展的促进作用。它还具有从富有想象力的戏剧到直接话语的过渡，以及成功终止她的分析治疗的过程。在这种情况下，强调了涉及患者神经系统冲突的解释性工作。