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心理治疗师关于他们患者的梦境。

Psychotherapists' dreams about their patients.

作者信息

Kron Tamar, Avny Nadav

机构信息

Department of Psychology, Hebrew University, Jerusalem, Israel.

出版信息

J Anal Psychol. 2003 Jun;48(3):317-39. doi: 10.1111/1465-5922.t01-3-00003.

Abstract

UNLABELLED

This study examines therapists' dreams about their patients from the Jungian and the relational perspectives. Few clinical and empirical references to this subject are to be found in the literature. In the present study 31 dreams were collected from 22 therapists. Dreams were collected using anonymous self-report inventory. The research focused on three theoretical research questions: 1. What themes appear in the manifest content of therapists' dreams about their patients? 2. What contributions are made by Jungian interpretation of therapists' dreams about their patients? 3. To what extent are masochistic contents present in the manifest content of therapists' dreams about their patients? The first question was addressed using categorical content analysis of a) themes common to different dreams and b) pre-determined themes for all dreams. The third research question was addressed using Beck's (1967) 'Masochistic Dream' measure.

RESULTS

Among the themes common to different dreams were: therapist-patient role reversal; therapist and/or patient attends and remains in meeting, departs/doesn't depart; cancellation of therapy session; sexuality between therapist and patient; aggression; presence vs. absence; non-verbal relationship and communication; time; driving vs. stopping. With regard to pre-determined themes it was found that in 20 of the 31 dreams, the therapist had a negative experience and was characterized as vulnerable. Likewise it was found that 26 out of 31 dreams took place in either a) a street, a road, a route, a corridor; b) en route to somewhere; c) a therapy room and/or building; d) a house. With regard to the contribution of Jungian interpretations of the dreams it was found that 17 of the dreams had diagnostic and prognostic elements, 4 of which were initial dreams, 9 of them were compensatory dreams and in 14 it was found that the patient represents the shadow of the therapist. With regard to the third question it was found that 18 of the 31 dreams met Beck's (1967) criteria for masochistic dreams. The theoretical discussion examines the findings from a Jungian perspective, with an emphasis on also understanding the dream in terms of its expression of relational aspects of the therapist-patient relationship. The findings affirm the presence of the 'wounded healer' archetypes in therapists' dreams about their patients. The results of the study indicate that therapists' dreams about their patients can be a valuable tool for deepening understanding of the therapeutic relationship and process.

摘要

未标注

本研究从荣格派和关系视角审视治疗师关于其患者的梦境。在文献中几乎找不到关于该主题的临床和实证参考资料。在本研究中,从22名治疗师那里收集了31个梦境。梦境通过匿名自我报告清单收集。该研究聚焦于三个理论研究问题:1. 治疗师关于其患者的梦境的显性内容中出现了哪些主题?2. 荣格派解梦对治疗师关于其患者的梦境有哪些贡献?3. 治疗师关于其患者的梦境的显性内容中存在受虐内容的程度如何?第一个问题通过对以下内容的分类内容分析来解决:a) 不同梦境共有的主题;b) 所有梦境的预先确定主题。第三个研究问题通过使用贝克(1967年)的“受虐梦境”量表来解决。

结果

不同梦境共有的主题包括:治疗师与患者角色反转;治疗师和/或患者参加并留在会面中、离开/未离开;治疗 session 的取消;治疗师与患者之间的性行为;攻击性;在场与不在场;非言语关系与沟通;时间;驾驶与停车。关于预先确定主题,发现在31个梦境中的20个里,治疗师有负面经历且被描述为易受伤害。同样发现,31个梦境中有26个发生在以下场景之一:a) 街道、道路、路线、走廊;b) 在前往某处的途中;c) 治疗室和/或建筑物;d) 一所房子。关于梦境的荣格派解梦的贡献,发现17个梦境有诊断和预后元素,其中4个是初始梦境,9个是补偿性梦境,在14个梦境中发现患者代表治疗师的阴影。关于第三个问题,发现31个梦境中有18个符合贝克(1967年)关于受虐梦境的标准。理论讨论从荣格派视角审视研究结果,重点是也从其对治疗师 - 患者关系的关系方面的表达来理解梦境。研究结果证实了治疗师关于其患者的梦境中存在“受伤治愈者”原型。研究结果表明,治疗师关于其患者的梦境可以成为深化对治疗关系和过程理解的宝贵工具。

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