Tassicker Roslyn J
Genetic Health Services Victoria, Royal Childrens Hospital, Melbourne, Victoria, Australia.
J Genet Couns. 2005 Apr;14(2):99-107. doi: 10.1007/s10897-005-4066-y.
This paper revisits psychodynamic theory, which can be applied in predictive testing counseling for Huntington's Disease (HD). Psychodynamic theory has developed from the work of Freud and places importance on early parent-child experiences. The nature of these relationships, or attachments are reflected in adult expectations and relationships. Two significant concepts, identification and fear of abandonment, have been developed and expounded by the psychodynamic theorist, Melanie Klein. The processes of identification and fear of abandonment can become evident in predictive testing counseling and are colored by the client's experience of growing up with a parent affected by Huntington's Disease. In reflecting on family-of-origin experiences, clients can also express implied expectations of the future, and future relationships. Case examples are given to illustrate the dynamic processes of identification and fear of abandonment which may present in the clinical setting. Counselor recognition of these processes can illuminate and inform counseling practice.
本文重新审视了精神动力学理论，该理论可应用于亨廷顿舞蹈症（HD）的预测性检测咨询。精神动力学理论源于弗洛伊德的著作，重视早期的亲子经历。这些关系或依恋的性质反映在成人的期望和关系中。精神动力学家梅兰妮·克莱因提出并阐述了两个重要概念：认同和被抛弃恐惧。认同和被抛弃恐惧的过程在预测性检测咨询中可能会变得明显，并受到客户在患有亨廷顿舞蹈症的父母身边成长经历的影响。在反思原生家庭经历时，客户也可以表达对未来以及未来关系的隐含期望。文中给出了案例，以说明在临床环境中可能出现的认同和被抛弃恐惧的动态过程。咨询师对这些过程的认识可以为咨询实践提供启发和指导。
