Glick Robert Alan, Roose Steven P
Columbia University Center for Psychoanalytic Training and Research, USA.
J Am Psychoanal Assoc. 2006 Summer;54(3):745-62.
With the increasing use of psychotropic medication concomitant with psychoanalysis, attention must be given to the challenges created by complaints of medication side effects. When confronted with these side effects, analysts may experience specific, uniquely actualized countertransference anxieties that can prompt the abandonment of transference analysis. Particular countertransference fantasies that arise in combined treatments are examined, as are the reasons for the analyst's suspension of curiosity and openness and its clinical consequences. In these situations, effective analysis requires the analyst to be "bilingual," to hold in mind both the analytic and the pharmacological model.
随着精神药物与精神分析相伴使用的情况日益增多，必须关注药物副作用投诉所带来的挑战。面对这些副作用时，分析师可能会体验到特定的、独特呈现的反移情焦虑，这可能促使其放弃移情分析。本文探讨了联合治疗中出现的特殊反移情幻想，以及分析师停止好奇与开放态度的原因及其临床后果。在这些情况下，有效的分析要求分析师具备“双语能力”，既要牢记精神分析模型，也要牢记药理学模型。
