Feinsilver D B
Int J Psychoanal. 1998 Dec;79 ( Pt 6):1131-50.
The author notes a parallel between his heightened capacity to experience pleasure in life after discovering that he has metastatic cancer and the surprising mobilisation of therapeutic forces displayed by his patients after sharing with them the news of his illness. He presents four clinical vignettes and compares and contrasts his findings with those reported in the relatively sparse and inconclusive literature which emphasises the negative aspects of dealing with this kind of threatening reality. The author notes the usefulness of sharing external realities with his patients, which then functions in dialectical interplay with a classical focus on unconscious fantasy, both in extreme and ordinary therapeutic circumstances. This extends and elaborates on the author's previously reported work on 'comprehensive counter-transference' being a 'real person' and therapeutic action.
作者注意到，在发现自己患有转移性癌症后，他体验生活中快乐的能力有所增强，这与他将自己患病的消息告知患者后，患者所展现出的令人惊讶的治疗力量的调动之间存在相似之处。他呈现了四个临床案例，并将自己的发现与相对稀少且结论不明确的文献中所报道的结果进行比较和对比，这些文献强调了应对此类威胁性现实的消极方面。作者指出与患者分享外部现实的有用性，这在极端和普通治疗情境中，都与对无意识幻想的经典关注形成辩证互动。这扩展并详细阐述了作者之前关于“全面反移情”作为“真实的人”与治疗行动的报告工作。
