Barron Grace Caroline
Columbia University Center for Psychoanalytic Training and Research, Columbia College of Physicians and Surgeons, USA.
J Am Psychoanal Assoc. 2003 Winter;51(1):155-75. doi: 10.1177/00030651030510010301.
How and why a candidate's private experience of two supervisors emerged in patients' fantasies about them is explored. Four issues are examined in light of two control cases: (1) Patients divide, rather than split, the transference between supervisor and candidate, experiencing both ambivalently. (2) Even a patient with no knowledge of the supervisor's identity may have a fantasy of the supervisor that is congruent with the candidate's experience of the supervisor. (3) When new professional traits emerge in the candidate as he or she identifies with his or her mentor, the patient may attribute them to the invisible person in the room--the supervisor; the patient may intuit and be influenced by the candidate's feelings about the supervisor as well. (4) A patient's fantasies about the supervisor may reflect parallel process in reverse, whereby the patient discerns what is going on between supervisor and candidate through his or her treatment, just as the supervisor reads what is going on between patient and candidate through the candidate's reporting of the treatment. Because the trio is the truth of the training case, it seems fitting and empowering to acknowledge and analyze the role of the supervisor in the patient's mind.
本文探讨了候选人与两位督导的私人经历如何以及为何会出现在患者对他们的幻想中。结合两个对照案例,研究了四个问题:(1)患者将对督导和候选人的移情进行区分而非分裂,对两者都体验到矛盾情感。(2)即使患者不了解督导的身份,也可能产生与候选人对督导的体验相一致的对督导的幻想。(3)当候选人在认同其导师时展现出新的职业特质,患者可能会将这些特质归因于房间里看不见的人——督导;患者也可能凭直觉感知并受到候选人对督导的情感的影响。(4)患者对督导的幻想可能反映了相反的平行过程,即患者通过其治疗洞察督导与候选人之间发生的事情,就如同督导通过候选人对治疗的汇报了解患者与候选人之间发生的事情一样。由于三人组是培训案例的真实情况,承认并分析督导在患者心中的角色似乎是恰当且有益的。