Marcus Eric R
Columbia University Center for Psychoanalytic Training and Research, USA.
J Am Acad Psychoanal Dyn Psychiatry. 2007 Summer;35(2):211-8. doi: 10.1521/jaap.2007.35.2.211.
Transference to medication can provide important information about specific ego dysfunction in sicker patients who often need medication. Whether positive or negative or both in content, the organization of the experience provides one example of the illness' effect on the patients' ego and can therefore be a specific diagnostic assessment strategy. Early resistances to medication may reveal the nature of resistances to the therapeutic alliance and to higher-level ego function. Understanding this can guide verbal and pharmacological interventions to strengthen ego function. Countertransference can similarly be helpful because it, too, can be a highly specific diagnostic indicator.
对药物治疗的移情可以为那些经常需要药物治疗的病情较重的患者的特定自我功能障碍提供重要信息。无论这种体验在内容上是积极的、消极的还是两者兼具，其组织方式都提供了疾病对患者自我影响的一个例子，因此可以作为一种特定的诊断评估策略。对药物治疗的早期抵抗可能揭示对治疗联盟和更高层次自我功能的抵抗的本质。理解这一点可以指导言语和药物干预以增强自我功能。反移情同样可能有所帮助，因为它也可以是一个高度特定的诊断指标。
