Quadrio C
Department of Psychiatry, Prince of Wales Hospital, Randwick, New South Wales.
Aust N Z J Psychiatry. 1992 Sep;26(3):346-63. doi: 10.3109/00048679209072058.
A brief review of the problem of impaired therapists is followed by a more comprehensive review of sexual relationships arising in and following psychotherapy. The prevalence of this latter problem is approximately 10%. Offenders are predominantly male, one half are said to be "ruthless" and "exploitative", whilst the remainder are often "lovesick". The author relates these phenomena to processes of repudiation of the relational/feminine self of the highly masculinised clinician. Characteristics of offenders and consequences for patients are presented and issues of detection, sanctions, legislation, and prevention are addressed. Studies suggest that the vast majority of patients are harmed by the experience and that neither improved training, licensing, personal therapy, nor supervision of therapists will guarantee against its occurrence.
在对有问题的治疗师问题进行简要回顾之后，接下来将对心理治疗期间及之后出现的性关系进行更全面的回顾。后一个问题的发生率约为10%。犯罪者主要是男性，据说其中一半是“无情的”和“剥削性的”，而其余的人往往是“害相思病的”。作者将这些现象与高度男性化的临床医生对关系性/女性化自我的排斥过程联系起来。介绍了犯罪者的特征以及对患者的后果，并讨论了检测、制裁、立法和预防等问题。研究表明，绝大多数患者都受到了这种经历的伤害，而且改善培训、发放执照、个人治疗或对治疗师的监督都无法保证防止这种情况的发生。
