Nuetzel E J
Washington University School of Medicine, St. Louis, Missouri.
Bull Menninger Clin. 1991 Winter;55(1):38-47.
The author examines the phenomenon of analysand-initiated interruptions of psychoanalysis by briefly reviewing Freud's treatment of Dora and then describing his own similar experience. The deterioration in Freud's relationship with Wilhelm Fliess may have influenced Freud's handling of Dora's treatment, thereby contributing to the outcome. The author contends that, with his own patient, his plan to end a training analysis influenced his management of transference-countertransference dynamics, thus contributing to the patient's premature departure. The author suggests that there is a special period of countertransference vulnerability for psychoanalysts and psychotherapists.
作者通过简要回顾弗洛伊德对朵拉的治疗,然后描述自己的类似经历,探讨了受分析者引发的精神分析中断现象。弗洛伊德与威廉·弗利斯关系的恶化可能影响了弗洛伊德对朵拉治疗的处理方式,进而促成了治疗结果。作者认为,在自己治疗患者时,结束训练分析的计划影响了他对移情 - 反移情动力的处理,从而导致患者过早离开。作者指出,精神分析师和心理治疗师存在一段反移情易感性的特殊时期。