Gianotti Patricia
New Hampshire Psychological Association, USA.
Am J Psychoanal. 2010 Mar;70(1):42-52. doi: 10.1057/ajp.2009.41.
This article offers a perspective and a summary of Jack Danielian's (2010) Horneyan training model, highlighting the benefits of a meta-psychological approach for analysts in training and seasoned practitioners alike. To help illustrate the complexity of Karen Horney's views of character structure and character pathology, this article presents a model that reflects the dynamic tensions at play within individuals with narcissistic issues. It suggests that therapeutic listening can be tracked and that thematic material unfolds in a somewhat predictable, sequential, yet altogether systemic manner. Listening is not just art or intuition, nor is it merely interpretation of content based on a theoretical framework. It represents a way of holding the dialectic tension between conscious and unconscious, syntonic and dystonic. If we can better track these dynamic tensions, we can better anticipate and hopefully avoid clinical ruptures through the acting out of negative transference.
本文提供了对杰克·丹尼利亚（2010年）的霍妮式训练模型的一种观点和总结，强调了元心理学方法对实习分析师和经验丰富的从业者的益处。为了帮助阐明卡伦·霍妮对性格结构和性格病理学观点的复杂性，本文提出了一个模型，该模型反映了有自恋问题的个体内部存在的动态张力。它表明治疗性倾听是可以追踪的，并且主题材料以一种在某种程度上可预测、有序且完全系统的方式展开。倾听不仅仅是艺术或直觉，也不仅仅是基于理论框架对内容的解释。它代表了一种在意识与无意识、和谐与不和谐之间保持辩证张力的方式。如果我们能够更好地追踪这些动态张力，我们就能更好地预测并有望避免通过消极移情的付诸行动而导致的临床破裂。
