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论对患者的误读与误导。关于沟通、沟通失误及反移情表现的若干思考。

On misreading and misleading patients. Some reflections on communications, miscommunications and countertransference enactments.

作者信息

Jacobs T J

出版信息

Int J Psychoanal. 2001 Aug;82(Pt 4):653-69. doi: 10.1516/0020757011601118.

DOI:10.1516/0020757011601118
PMID:11554356
Abstract

This author focuses on an aspect of transference-countertransference interaction that enacted covertly is often overlooked. He argues that conflicts, needs and biases that may go undetected for lengthy periods of time are not infrequently contained within the analyst's accurate and technically correct interventions and that for defensive reasons, patients often suppress, deny or rationalise their accurate perceptions of these countertransference elements and fail to confront their analysts with them. The mistakes, miscommunications and misperceptions that arise as a consequence of the unconscious collusions that develop between patient and analyst can have a profound effect on the analytic work. Several clinical examples are presented to illustrate the operation of such covert communications in analysis and their impact on the treatment process.

摘要

这位作者关注的是移情 - 反移情互动中一个常常被忽视的方面,即暗中发生的互动。他认为,长时间未被察觉的冲突、需求和偏见,常常包含在分析师准确且技术上正确的干预之中,并且出于防御的原因,患者常常压抑、否认或合理化他们对这些反移情元素的准确认知,而未能与分析师就此进行对峙。患者与分析师之间无意识的共谋所产生的错误、沟通不畅和误解,会对分析工作产生深远影响。文中给出了几个临床实例,以说明此类暗中沟通在分析中的运作及其对治疗过程的影响。

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