Abstract：
The author describes and then clinically illustrates what he terms the ontological dimension of psychoanalysis (having to do with coming into being) and the epistemological dimension of psychoanalysis (having to do with coming to know and understand). Neither of these dimensions of psychoanalysis exists in pure form; they are inextricably intertwined. Epistemological psychoanalysis, for which Freud and Klein are the principal architects, involves the work of arriving at understandings of play, dreams, and associations; while ontological psychoanalysis, for which Winnicott and Bion are the principal architects, involves creating conditions in which the patient might become more fully alive and real to him- or herself. The author provides clinical illustrations of the ontological dimension of psychoanalysis in which the process of the patient\'s coming more fully into being is facilitated by the experiences in which the patient feels recognized for the individual he is and is becoming. This occurs in an analysis in which the analyst and patient invent a form of psychoanalysis that is uniquely their own.
摘要：
作者描述并在临床上说明了他所说的精神分析的本体论维度（与形成有关）和精神分析的认识论维度（与认识和理解有关）。精神分析的这些维度都不是以纯粹的形式存在的；它们是不可分割地交织在一起的。认识论精神分析,弗洛伊德和克莱因是主要的建筑师，涉及达成对游戏的理解的工作，梦想,和联想；而本体论精神分析，温尼科特和比昂是主要建筑师，涉及创造条件，使患者可能变得更加完整和真实。作者提供了精神分析的本体论维度的临床插图，在该过程中，患者更充分地成为存在的过程是通过患者感到对他正在和正在成为的个体的认可来促进的。这发生在分析中，其中分析师和患者发明了一种独特的精神分析形式。
