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[男女患者在初次精神分析访谈中的症状描述与初始治疗关系]

[Symptom portrayal and initial therapeutic relationship of female and male patients in the initial psychoanalytic interview].

作者信息

Grande T, Wilke S, Nübling R

机构信息

Institut für Psychoanalyse an der Johann-Wolfgang-Goethe-Universität, Frankfurt.

出版信息

Z Psychosom Med Psychoanal. 1992;38(1):31-48.

PMID:1561845
Abstract

The transcripts of psychoanalytic initial interviews are analyzed in using the "Structural Analysis of Social Behavior" (SASB) by L. S. Benjamin. This instrument was chosen to detect how male and female patients talk about their symptoms, and about previous treatments. The immediate interaction with the interviewer during the dialogue was also described by using SASB. On the basis of only the first patients' utterances after the initial request of the therapists (like "What brings you here?") we can distinguish female and male patients by the quality of the relations described (to the symptoms, the previous physicians, and to the therapist). The sex-specific readiness to establish relationships which becomes apparent in these descriptions can be related to the interview situation itself. In our further argumentation we interpret them as subtle messages to the interviewer. Finally we discuss their inherent potentials and risks for the psychotherapeutic cooperation.

摘要

运用L. S. 本杰明的“社会行为结构分析”(SASB)对精神分析初次访谈的记录进行分析。选择该工具是为了探究男性和女性患者如何谈论他们的症状以及以往的治疗情况。对话期间与访谈者的即时互动也通过SASB进行描述。仅依据治疗师初次提问(如“是什么让你来这儿的?”)后患者的第一句话,我们就能根据所描述关系的性质(与症状、之前的医生以及治疗师的关系)区分男性和女性患者。在这些描述中显现出的建立关系的性别差异倾向可能与访谈情境本身有关。在后续论述中,我们将其解读为给访谈者的微妙信息。最后,我们讨论它们在心理治疗合作中所蕴含的潜力和风险。

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