Gardner Richard A
Columbia University, College of Physicians and Surgeons, USA.
J Am Acad Psychoanal Dyn Psychiatry. 2003 Summer;31(2):297-323. doi: 10.1521/jaap.31.2.297.22112.
Freud's dilemma with regard to whether or not he should believe his patients' allegations of sexual abuse in childhood is well known. A century later, psychoanalysts are still dealing with this important issue. In this article, I describe the criteria I have developed in recent years, criteria that have been useful for me when attempting to determine whether my child and adult patients' allegations of sex abuse are more likely to be true or more likely to be false. Although these differentiating criteria were developed in the context of forensic evaluations, they should prove useful in clinical settings as well.
弗洛伊德对于是否应该相信他的患者关于童年性虐待的指控所面临的困境是众所周知的。一个世纪后,精神分析学家仍在处理这个重要问题。在本文中,我描述了近年来我所制定的标准,这些标准在我试图确定我的儿童和成年患者关于性虐待的指控更有可能是真还是更有可能是假时对我很有用。尽管这些区分标准是在法医评估的背景下制定的,但它们在临床环境中应该也会很有用。