Fine Paul
Psychiatry, Creighton University, Omaha, NE, USA.
J Am Acad Psychoanal Dyn Psychiatry. 2007 Fall;35(3):431-41. doi: 10.1521/jaap.2007.35.3.431.
Psychodynamics are surprisingly contemporary for community-based psychiatry. Clinical vignettes illustrate this point. Familiarity with literature concerning symbolic communication, transference, projective identification, and narcissism help provide perspective. Psychiatry in community settings can be stressful. Its practice is improved by supervised experience, grounded in psychodynamics.
心理动力学在社区精神病学中有着惊人的现代意义。临床案例说明了这一点。熟悉有关象征性沟通、移情、投射性认同和自恋的文献有助于提供视角。社区环境中的精神病学工作可能会有压力。通过基于心理动力学的督导经验,其实践可以得到改善。