Gutheil T G, Gabbard G O
Program in Psychiatry and the Law, Massachusetts Mental Health Center, Boston 02115.
Am J Psychother. 1992 Oct;46(4):515-25. doi: 10.1176/appi.psychotherapy.1992.46.4.515.
Several dynamic resistances appear to interfere with rational and empirically based discourse about therapist-patient sexual misconduct. These resistances include the lure of reductionism and a longing for simplicity; wishes for "political correctness"; gender bias; and confusion about the nature of the trauma in sexual misconduct. We conclude that (1) empirical study may produce unpleasant results; (2) "politically incorrect" models of misconduct merit study with care equal to "politically correct" ones; and (3) those reenactments we call transference-countertransference should be viewed in all their human complexity. Only then will our increased understanding of misconduct offer hope of prevention.
一些动态阻力似乎在干扰有关治疗师与患者之间性行为不端的理性且基于实证的论述。这些阻力包括还原论的诱惑和对简单性的渴望；对“政治正确性”的期望；性别偏见；以及对性行为不端中创伤本质的困惑。我们得出结论：（1）实证研究可能会产生令人不快的结果；（2）对于性行为不端的“政治不正确”模型，应给予与“政治正确”模型同等认真的研究；（3）我们所称的移情 - 反移情的那些重演，应从其所有的人性复杂性角度去看待。只有这样，我们对不当行为的更多理解才会带来预防的希望。
