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再谈个人披露。

Personal disclosure revisited.

作者信息

Olarte Silvia W

机构信息

New York Medical College, Valhalla, USA.

出版信息

J Am Acad Psychoanal Dyn Psychiatry. 2003 Winter;31(4):599-607. doi: 10.1521/jaap.31.4.599.23003.

Abstract

In this paper personal disclosure is defined as a conscious verbal presentation to the patient by the therapist of a personal vignette accompanied by the appropriate dynamic formulation and resolution of a given personal area of conflict. It is conceptualized within theoretical formulations which consider the therapeutic relationship a dyad, where the reality of the patient and the reality of the therapist influence each other, providing the matrix through which the resolution of the patient's past life experiences takes place in the context of this new interpersonal experience. It is specifically differentiated from a boundary violation, because the personal disclosure is brought to the patient's interactional awareness not for gratification of the therapist's sexual or narcissistic needs, but to provoke a response in the patient's conceptualization of a phenomenon being presented in the session and to actively influence the intersubjective field. Within the conceptual framework developed in this paper, personal disclosure reaffirms the patient's current self-discovery and provides for a different formative experience. Personal disclosure is not to be used by the therapist as a vehicle to resolve personal conflicts or as source of personal gratification. When used within the context developed in this paper, personal disclosure enhances both the patient's therapeutic process and the therapist's ever-evolving growth.

摘要

在本文中,个人披露被定义为治疗师向患者有意识地进行言语表述,讲述一个个人小故事,并对特定的个人冲突领域进行适当的动力学阐释和解决。它是在理论框架内被概念化的,这些理论框架将治疗关系视为二元组,其中患者的现实和治疗师的现实相互影响,为患者过去生活经历的解决提供了一个矩阵,使其在这种新的人际体验背景下得以发生。它与违反边界有明确区别,因为个人披露是为了引起患者对在治疗过程中呈现的现象的概念化反应,并积极影响主体间领域,而不是为了满足治疗师的性或自恋需求才让患者意识到这种互动。在本文所构建的概念框架内,个人披露重申了患者当前的自我发现,并提供了一种不同的成长体验。个人披露不应被治疗师用作解决个人冲突的手段或个人满足的来源。当在本文所阐述的背景下使用时,个人披露既能增强患者的治疗进程,也能促进治疗师不断成长。

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