ABSTRACT This paper explores psychoanalytic ideas about autism, through vignettes from a long-term psychotherapy of an autistic adolescent who had developed an obsessive passion for photographing his world. The use of an autistic object will be explored here, as well as the change that occurred in the context of this therapy in the use of the object – from being a sensuous shelter and pseudo-protection from the world, to becoming a bridge to it, a vehicle for building a mind and a container for the patient’s experiences. The paper also examines the overall development of the patient, moving from a seemingly a-symbolic state of mind, to forming and using symbols that were in between symbolic equations and formal symbols. In this in-between mental state, ‘tangible-archetypal symbols’ existed, as defined by the author. Three characteristics of these symbols are defined, including their sensual nature, primary meaning and incoherent presentation to the world. These characteristics are illustrated in the context of the clinical material. Implications for clinical work with autistic states are discussed throughout the paper.

中文翻译：

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自闭症的转变：对自闭症状态进行心理治疗

摘要 本文通过对自闭症青少年进行长期心理治疗的小插曲，探讨了有关自闭症的精神分析观点，该青少年对拍摄自己的世界产生了强烈的热情。这里将探讨自闭症对象的使用，以及在这种疗法的背景下在使用对象时发生的变化——从感性的庇护所和对世界的伪保护，到成为通向世界的桥梁，一种构建思维的工具和患者体验的容器。该论文还考察了患者的整体发展，从看似无符号的心理状态转变为形成和使用介于符号方程和形式符号之间的符号。在这种介于两者之间的心理状态中，存在着作者定义的“有形原型符号”。定义了这些符号的三个特征，包括它们的感性本质、主要意义和对世界的不连贯呈现。这些特征在临床材料的背景下进行了说明。整篇论文讨论了对自闭症状态临床工作的影响。