Bizi-Nathaniel S, Granek M, Golomb M
Outpatient Clinic, Gehah Psychiatric Hospital, Beilinson Medical Center, Petah-Tiqva, Israel.
Am J Psychother. 1991 Oct;45(4):594-603. doi: 10.1176/appi.psychotherapy.1991.45.4.594.
Fragments of a psychotherapy of an Arab patient by a Jewish psychotherapist in Israel, during an exacerbation of a historical political conflict, are presented. In addition to the delineated characteristic difficulties embedded in a cross-cultural/ethnic/national psychotherapy, an Arab-Jewish dyad evokes a complicated interaction between external political reality and the therapeutic space, confusing and obscuring the discourse, the transference, and the countertransference. We believe that the complex and intricate relationship between external reality and inner psychic reality, as it appeared in the therapeutic space, endangered the psychotherapeutic process by blurring the boundaries and creating a fertile ground for projective identification. Both the use of political reality as a defense, or its denial may preclude the possibility for a real dialogue. Implications for emphasizing the differences between patient's and therapist's ethnic affiliations, guarding sensitively the authenticity of interaction, and strengthening both participants' identity in all the relevant levels are pointed out to facilitate the dialectic process of the psychotherapy.
本文呈现了在以色列历史政治冲突加剧期间，一位犹太心理治疗师对一名阿拉伯患者进行心理治疗的片段。除了跨文化/种族/民族心理治疗中所描述的典型困难外，阿拉伯-犹太二元组引发了外部政治现实与治疗空间之间的复杂互动，使话语、移情和反移情变得混乱和模糊。我们认为，正如在治疗空间中所呈现的那样，外部现实与内心精神现实之间复杂而微妙的关系，通过模糊边界并为投射性认同创造了肥沃土壤，危及了心理治疗过程。将政治现实用作防御手段或予以否认，都可能排除进行真正对话的可能性。文中指出了强调患者与治疗师种族归属差异、敏感守护互动真实性以及在所有相关层面强化双方身份认同的重要性，以促进心理治疗的辩证过程。
