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[精神科诊所中的团队监督——方法与实践]

[Team supervision in the psychiatric clinic--methods and practice].

作者信息

Becker H

出版信息

Psychiatr Prax. 1991 Sep;18(5):167-72.

PMID:1956972
Abstract

In this article the supervision of psychiatric therapy teams is conceptualised within the overall framework of psychoanalytical theory and practice. Supervision can be interpreted as a process in the course of which there are scenic representations of unconscious conflict situations within the group of the team. These conflicts derive their dynamics from two different sources. On the one hand, we have a reflection of the therapeutic relationship between the team and the patient in the mutual relations between the team members themselves (this perspective has been adopted from the Balint group concept). On the other hand, we have, when discussing the case of a patient, a reversal of this perspective in so far as this discussion reflects the themes and conflicts originating from the professional socialisation of the team members. In this manner, supervision develops into a dialectic process that mutually interrelates these two poles of what goes on in the subconscious mind. This concept of supervision is demonstrated in detail by means of two case examples.

摘要

在本文中,精神治疗团队的督导在精神分析理论与实践的整体框架内被概念化。督导可被解释为一个过程,在此过程中,团队内部存在着无意识冲突情境的场景化呈现。这些冲突的动力来自两个不同的源头。一方面,团队成员之间的相互关系反映了团队与患者之间的治疗关系(这一观点借鉴了巴林特小组的概念)。另一方面,在讨论患者案例时,这种观点会发生反转,因为这种讨论反映了源自团队成员职业社会化的主题和冲突。通过这种方式,督导发展成为一个辩证过程,将潜意识中发生的这两个极点相互联系起来。借助两个案例详细展示了这种督导概念。

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