Gray Deering Catherine, Gannon Erica J
Emory University School of Medicine & Atlanta VA Medical Center, USA.
Am J Psychother. 2005;59(4):351-60. doi: 10.1176/appi.psychotherapy.2005.59.4.351.
Therapists who are accustomed to operating in a world where gender roles are becoming increasingly androgynous may underestimate how foreign the experience of psychotherapy can be to "traditional" men. This paper describes the occurrence of transference and resistance encountered by female therapists when seeing male patients at a Veterans Administration (V.A.) Medical Center who identify with traditional American male gender roles. The discussion is informed by recent advances in the theory of male gender identity development and yields new insights into the typical defenses men may bring to the early phases of psychotherapy. Case examples from the authors' practices illustrate strategies for intervening with resistance and enhancing the therapeutic alliance. Common countertransference issues encountered by therapists working with "traditional" men are also discussed.
习惯于在一个性别角色日益中性化的世界中开展工作的治疗师，可能会低估心理治疗体验对于“传统”男性而言是多么陌生。本文描述了女性治疗师在一家退伍军人管理局（V.A.）医疗中心接待认同传统美国男性性别角色的男性患者时所遇到的移情和阻抗情况。讨论基于男性性别认同发展理论的最新进展，并对男性在心理治疗早期阶段可能采用的典型防御机制有了新的见解。作者实践中的案例示例说明了干预阻抗和加强治疗联盟的策略。还讨论了与“传统”男性患者打交道的治疗师所遇到的常见反移情问题。
