Plotkin F
J Am Psychoanal Assoc. 2000;48(4):1591-616. doi: 10.1177/00030651000480042001.
Work with the elderly challenges analysts in special ways. The author presents clinical material from her practice and from investigative interviews with nine treating analysts who report personal reactions and countertransferences to analytic work with twelve elderly patients. She concludes that the major challenges in work with the elderly come more from the analyst than from the patients. Issues arising from the analyst's unresolved feelings about aging, parents, loss, and death are revived in the treatment of the elderly in an especially intense form. In this paper many aspects of transference are considered, especially those relating to illness, loss, and the problems that flow from identifications of the older analyst with the patient. The affective reverberations in younger and older analysts with regard to the initiation of analytic treatment, the inevitability of moving in and out of real life crises, the sustaining of loss, and, particularly, the impending termination, are presented in the paper.
与老年人一起工作给分析师带来了特殊的挑战。作者展示了她临床实践中的资料，以及对九位治疗分析师的调查访谈，这些分析师报告了他们对十二位老年患者进行分析工作时的个人反应和反移情。她得出结论，与老年人一起工作的主要挑战更多来自分析师而非患者。分析师对衰老、父母、丧失和死亡等未解决情感所引发的问题，在对老年人的治疗中以特别强烈的形式再次浮现。本文探讨了移情的诸多方面，尤其是那些与疾病、丧失以及年长分析师与患者认同所产生的问题相关的方面。文中呈现了年轻和年长分析师在分析治疗开始时、进出现实生活危机的必然性、丧失的持续以及特别是即将到来的终止阶段所产生的情感反响。
