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新妈妈/老治疗师:重返工作岗位中的移情与反移情挑战

New mother/old therapist: transference and countertransference challenges in the return to work.

作者信息

Waldman Jane

机构信息

Department of Psychiatry, Harvard Medical School, Executive Manager of the Endowment for the Advancement of Psychotherapy, Massachusetts General Hospital/Harvard Medical School, USA.

出版信息

Am J Psychother. 2003;57(1):52-63. doi: 10.1176/appi.psychotherapy.2003.57.1.52.

DOI:10.1176/appi.psychotherapy.2003.57.1.52
PMID:12647569
Abstract

Psychodynamic psychotherapists are not generally accustomed to discussing with patients the impact of their own personal experiences on their clinical work. Psychotherapists who return to work postmaternity leave, however, have both a rich opportunity and a clinical mandate to explore the effects of their new parenting on the treatment field. Pregnant therapists have addressed their pregnancy with their patients; however, the experiences of both therapists and patients postmaternity leave are often not discussed to the same extent. Using the author's own experience following her return to clinical work following the birth of her child, this paper explores the ways that the psychodynamic work is affected when the therapist has become a parent, including: changes in transference work; problems of separation and abandonment; and expanding boundaries.

摘要

心理动力心理治疗师通常不习惯与患者讨论自身个人经历对其临床工作的影响。然而,休完产假重返工作岗位的心理治疗师有丰富的机会且负有临床责任去探索其初为人父母的新体验对治疗领域的影响。怀孕的治疗师会与患者谈及自己的孕期;然而,治疗师和患者在休完产假后的经历往往没有得到同等程度的讨论。本文利用作者自己在孩子出生后重返临床工作的经历,探讨了治疗师成为父母后心理动力治疗工作受到影响的方式,包括:移情工作的变化;分离与被抛弃问题;以及边界的扩展。

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引用本文的文献

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An unavoidable bump: A meta-synthesis of psychotherapists' experiences of navigating therapy while pregnant.一个无法避免的波折:心理治疗师孕期进行治疗经历的元整合
Res Psychother. 2019 Dec 20;22(3):386. doi: 10.4081/ripppo.2019.386. eCollection 2019 Dec 19.
2
The pregnant therapist: the effect of a negative pregnancy outcome on a psychotherapy patient.怀孕的治疗师:不良妊娠结局对心理治疗患者的影响。
Psychiatr Q. 2014 Sep;85(3):377-82. doi: 10.1007/s11126-014-9298-2.