Ehrlich Lena Theodorou
Michigan Psychoanalytic Institute, USA.
J Am Psychoanal Assoc. 2010 Jun;58(3):515-32. doi: 10.1177/0003065110374861.
Of the many variables that affect an analyst's capacity to analyze, the analyst's ambivalence about analysis has received minimal attention. A previous paper (Ehrlich 2004) addressed how the analyst's ambivalence manifests itself in reluctance to recommend analysis and address the patient's resistances to the recommendation. The present paper examines the analyst's ambivalence about maintaining and deepening the analytic engagement. More specifically, it explores the analyst's conflicts around maintaining the analytic frame. A detailed clinical example illustrates how the analyst's continued scrutiny of her reluctance to maintain the analytic frame allowed a continuation of the analysis and a deepening of the analytic process. Given the current economic crisis and patients' increased propensity to use concerns about fee and frequency as a mode of resistance, it becomes increasingly important for analysts to recognize how their own ambivalence undermines their capacity to address those resistances effectively.
在影响分析师分析能力的诸多变量中,分析师对分析的矛盾情绪很少受到关注。之前的一篇论文(埃利希,2004年)探讨了分析师的矛盾情绪如何表现为不愿推荐分析以及应对患者对该推荐的抵触情绪。本文考察了分析师在维持和深化分析工作投入方面的矛盾情绪。更具体地说,它探讨了分析师在维持分析框架方面的冲突。一个详细的临床案例说明了分析师对自己不愿维持分析框架的持续审视如何使分析得以继续并深化了分析过程。鉴于当前的经济危机以及患者越来越倾向于将对费用和频次的担忧用作一种抵触方式,分析师认识到自身的矛盾情绪如何削弱他们有效应对这些抵触情绪的能力变得越发重要。