ABSTRACT A selective and limited sample of clinical case studies of psychoanalytic psychotherapy with anorexic patients, focussing on the author/therapist’s experience of working with such patients, is examined. Patients’ depressive and often angry states of withdrawal, and projections, are frequently noted. A summary of more hopeful interactions, as selected from the literature reviewed, is offered. An understanding of anorexic defences is explored in relation to the ‘Trojan Horse’ mythology, in the sense that that which purports to be emotionally nourishing and sublime can be suspiciously viewed as seeking to enter and conquer, through subterfuge. Some existing challenges to traditional tenets of psychoanalytic clinical practice with anorexic patients are presented.

中文翻译：

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厌食症和特洛伊木马：对厌食症患者书面精神分析遭遇的反思性审查

摘要 对厌食症患者的精神分析心理治疗临床案例研究的选择性和有限样本进行了检查，重点是作者/治疗师与此类患者一起工作的经验。患者的抑郁和经常愤怒的退缩状态和投射经常被注意到。提供了从审查的文献中选择的更有希望的互动的摘要。从“特洛伊木马”神话中探索对厌食防御的理解，从某种意义上说，那些声称在情感上滋养和崇高的东西可能会被怀疑地视为通过诡计寻求进入和征服。提出了对厌食症患者的精神分析临床实践的传统原则的一些现有挑战。