Shapiro E L
Department of Psychiatry, Massachusetts General Hospital, Boston 02114,USA.
J Psychother Pract Res. 2000 Winter;9(1):18-24.
Although many ideas and aspects of technique within the psychoanalytic framework have been seriously reexamined in recent years, the notion of the 50-minute hour has remained surprisingly sacrosanct. The possible advantages of expanding the time frame of individual psychotherapy sessions are discussed, as well as the necessary conditions for considering such an alteration. Some potential pitfalls and contraindications to double sessions are explored. Case examples are offered to support the notion that double sessions can often revitalize and shed new light on the therapeutic endeavor.
尽管近年来精神分析框架内的许多理念和技术层面都受到了认真的重新审视，但50分钟时长的观念却依然出奇地神圣不可侵犯。本文讨论了延长个体心理治疗疗程时间框架可能带来的好处，以及考虑这种改变所需的条件。同时也探讨了双疗程存在的一些潜在陷阱和禁忌。文中提供了案例来支持双疗程常常能够重振治疗进程并为其带来新启示这一观点。
