Private Practice, New York City, NY, USA.
J Clin Psychol. 2010 Feb;66(2):136-49. doi: 10.1002/jclp.20670.
A relational psychoanalytic harm reduction orientation to the treatment of substance misusers is presented and illustrated with a clinical example. Both harm reduction therapy and relational psychoanalysis rely on a two-person model in which the therapist and client are collaborators in the treatment. In both, substance use is seen in the context of the user's internal psychodynamics and external environment, and there is an emphasis on treating the person as a whole individual whose substance use is one aspect of life, rather than focusing on the substance use itself as was often done in the past. Historically, psychoanalysis and substance abuse treatment were so different from each other that their paths rarely crossed. The introduction of harm reduction therapy to substance abuse and the relational orientation in psychoanalysis have brought the fields closer together such that the valuable contributions that each can make to the other can now be appreciated.
本文提出了一种将关系精神分析与物质滥用者治疗相结合的方法，并通过一个临床案例进行了说明。伤害减少疗法和关系精神分析都依赖于一种双人模式，其中治疗师和客户是治疗中的合作者。在这两种方法中，物质使用都被视为使用者内在心理动力学和外部环境的背景，并且强调将人作为一个整体来治疗，而不是像过去那样仅仅关注物质使用本身。从历史上看，精神分析和物质滥用治疗彼此之间差异如此之大，以至于它们的路径很少交叉。伤害减少疗法在物质滥用中的引入以及精神分析中的关系取向使这两个领域更加紧密地结合在一起，现在可以欣赏彼此的宝贵贡献。
