ABSTRACT In this article, I describe the psychoanalysis of a girl on the Autisto-Psychotic Spectrum and her struggle to emerge out of a severe autistic pathological organisation. At the beginning of her analysis, the girl was in a state of autistic confusion, which was manifested as a sensorial lack of colour differentiation. Following interpretative working-through of her deep anxieties-of-being, she established a sensorial-emotional ‘wall’, leading to a consolidation of a previously precarious primary splitting. This, in turn, led to a better capacity for emotional perception and differentiation. Further interpretation of her paranoid-schizoid anxieties enabled a gradual emergence of relatedness, communication, concern, and some integration and reparation. Moreover, as the girl’s linking functions, psychic space, object relations and integration improved, her sensory, perceptual and motor skills and integrative capacities improved as well. She eventually emerged into the emotional and sensorial ‘land of colours’. Thus, psychoanalytic psychotherapy, with its linking and mantling functions, proved to be indispensable for both her development, as well as for structural changes in her sensory-perceptual experience.

中文翻译：

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从混沌到卡拉瓦乔：与感官知觉分裂相关的自闭症精神病状态的精神分析中的技术考虑

摘要 在这篇文章中，我描述了一个患有自闭症精神病谱系的女孩的精神分析，以及她从严重的自闭症病理组织中脱颖而出的努力。在她的分析开始时，女孩处于自闭症混乱状态，表现为感觉缺乏颜色区分。在对她深深的存在焦虑进行解释性工作之后，她建立了一个感官-情绪“墙”，从而巩固了以前不稳定的主要分裂。这反过来又导致了更好的情绪感知和区分能力。对她的偏执-分裂焦虑的进一步解释使得亲缘关系、交流、关注以及一些整合和补偿逐渐出现。而且，作为女孩的连接功能，心灵空间，客体关系和整合得到改善，她的感官、知觉和运动技能以及综合能力也得到改善。她最终进入了情感和感官的“色彩之地”。因此，精神分析心理治疗及其连接和处理功能被证明对于她的发展以及她的感官知觉体验的结构变化都是必不可少的。