Hoffman L
New York Psychoanalytic Institute, USA.
Am J Psychoanal. 2000 Dec;60(4):361-9. doi: 10.1023/a:1002094831179.
An attitude against public presentations has been part of the inward looking stance of organized psychoanalysis and has contributed to the often-heard comment that psychoanalysis is a dying profession. Because of the very private nature of clinical psychoanalytic work, this ambivalence to public appearances continues to exist in all psychoanalysts. We have to realize that it is crucial for psychoanalysts to educate the public about psychoanalytic ideas while being aware of possible unintended negative consequences, such as interference in transference issues with patients, ethical and privacy violations, distortion in the press coverage, unfairly biased antipsychoanalytic coverage, and concern about disapproval from prominent and influential members of psychoanalytic organizations about the nature of the press coverage (or even of press coverage at all) leading to criticism of an individual psychoanalyst and interference with his or her progression. Our public information efforts have to include using misfired efforts as teaching tools and insure that presentation of clinical material is limited and sufficiently disguised.
对公开演讲的抵触态度一直是有组织的精神分析向内看姿态的一部分，并且促成了常听到的一种说法，即精神分析是一门正在衰落的职业。由于临床精神分析工作具有非常私密的性质，所有精神分析师对公开露面的这种矛盾心理依然存在。我们必须认识到，对精神分析师而言，在向公众普及精神分析理念的同时，意识到可能产生的意外负面后果至关重要，比如干扰与患者的移情问题、违反伦理和隐私、媒体报道失真、存在不公平的反精神分析偏见报道，以及担心精神分析组织中有影响力的知名成员对媒体报道的性质（甚至对任何媒体报道）不满，从而导致对个别精神分析师的批评并干扰其职业发展。我们的信息公开工作必须包括将失误的努力用作教学工具，并确保临床资料的呈现受到限制且经过充分掩饰。
