Hinrichs R
Reichsstrasse 100, D-14052 Berlin, Germany.
Z Psychosom Med Psychother. 2001;47(3):277-89. doi: 10.13109/zptm.2001.47.3.277.
Following a short history of the development of the therapeutic techniques of psychoanalysis as derived from the basic rules of hypnosis, the apparent contradictions between the two approaches are called into question, with particular reference to the importance and efficacy of suggestion and suggestibility in both methods. How the integration of hypnotic interventions can both intensify and at the same time shorten the process of analytic therapy is demonstrated by two vignettes. The range of indications for the use of hypnosis as a complementary measure is currently restricted to the analysis of resistance and of the making conscious of past traumatic experiences that are involved in the psychogenesis of anxiety disorders. Particular importance is attached to the careful establishment of the indication and then psychoanalytic working-through of the accompanying transference-countertransference-dynamics following the completion of the hypno-analytic phase and in the course of the ongoing uncovering therapeutic process.
在简要回顾了从催眠基本规则衍生而来的精神分析治疗技术的发展历程后,两种方法之间明显的矛盾受到了质疑,尤其涉及到两种方法中暗示和易受暗示性的重要性及有效性。两个案例展示了催眠干预的整合如何既能强化又能同时缩短分析治疗的过程。目前,将催眠作为一种辅助措施使用的适应症范围仅限于对抵抗的分析以及使引发焦虑障碍心理成因的过去创伤经历变得有意识。特别重要的是要谨慎确定适应症,然后在催眠分析阶段完成后以及在持续的揭示性治疗过程中,对伴随的移情 - 反移情动力进行精神分析的彻底处理。