Meissner W W
Boston Psychoanalytic Institute, USA.
J Am Psychoanal Assoc. 2002 Summer;50(3):827-67. doi: 10.1177/00030651020500031501.
The problem of self-disclosure is explored in relation to currently shifting paradigms of the nature of the analytic relation and analytic interaction. Relational and intersubjective perspectives emphasize the role of self-disclosure as not merely allowable, but as an essential facilitating aspect of the analytic dialogue, in keeping with the role of the analyst as a contributing partner in the process. At the opposite extreme, advocates of classical anonymity stress the importance of neutrality and abstinence. The paper seeks to chart a course between unconstrained self-disclosure and absolute anonymity, both of which foster misalliances. Self-disclosure is seen as at times contributory to the analytic process, and at times deleterious. The decision whether to self-disclose, what to disclose, and when and how, should be guided by the analyst's perspective on neutrality, conceived as a mental stance in which the analyst assesses and decides what, at any given point, seems to contribute to the analytic process and the patient's therapeutic benefit. The major risk in self-disclosure is the tendency to draw the analytic interaction into the real relation between analyst and patient, thus diminishing or distorting the therapeutic alliance, mitigating transference expression, and compromising therapeutic effectiveness.
本文探讨了自我表露问题,该问题与当前关于分析关系和分析互动本质的范式转变相关。关系视角和主体间视角强调自我表露的作用,认为其不仅是可允许的,而且是分析对话的一个重要促进方面,这与分析师在该过程中作为有贡献的伙伴的角色相符。在另一个极端,经典匿名性的倡导者强调中立和节制的重要性。本文试图在无限制的自我表露和绝对匿名之间找到一条道路,因为这两者都会促成不良联盟。自我表露有时被视为对分析过程有帮助,有时则有害。关于是否自我表露、表露什么、何时以及如何表露的决定,应以分析师对中立性的看法为指导,中立性被视为一种心理立场,分析师据此评估并决定在任何特定时刻,什么似乎有助于分析过程和患者的治疗益处。自我表露的主要风险在于,有将分析互动引入分析师与患者之间现实关系的倾向,从而削弱或扭曲治疗联盟,减轻移情表达,并损害治疗效果。