Burton John K, Gilmore Karen
Division of Child and Adolescent Psychiatry, Columbia College of Physicians and Surgeons, 101 Fifth Avenue, New York, NY 10003, USA.
J Am Psychoanal Assoc. 2010 Aug;58(4):715-35. doi: 10.1177/0003065110387602.
The treatment of adolescents by gay analysts is uncharted territory regarding the impact of the analyst's sexuality on the analytic process. Since a core challenge of adolescence involves the integration of the adult sexual body, gender role, and reproductive capacities into evolving identity, and since adolescents seek objects in their environment to facilitate both identity formation and the establishment of autonomy from primary objects, the analyst's sexual orientation is arguably a potent influence on the outcome of adolescent development. However, because sexual orientation is a less visible characteristic of the analyst than gender, race, or age, for example, the line between reality and fantasy is less clearly demarcated. This brings up special considerations regarding discovery and disclosure in the treatment. To explore these issues, the case of a late adolescent girl in treatment with a gay male analyst is presented. In this treatment, the question of the analyst's sexual orientation, and the demand by the patient for the analyst's self-disclosure, became a transference nucleus around which the patient's individual dynamics and adolescent dilemmas could be explored and clarified.
同性恋分析师对青少年的治疗在分析师的性取向对分析过程的影响方面是一个未知领域。由于青春期的一个核心挑战涉及将成人性征、性别角色和生殖能力融入不断发展的身份认同中，并且由于青少年在其环境中寻找对象以促进身份形成和从主要对象中建立自主性，分析师的性取向可以说是对青少年发展结果的一种强大影响。然而，因为性取向比起性别、种族或年龄等特征，对分析师来说不那么明显可见，所以现实与幻想之间的界限划分得不太清晰。这就引出了治疗中关于发现和披露的特殊考量。为了探讨这些问题，本文呈现了一名处于青春期后期的女孩接受男同性恋分析师治疗的案例。在这次治疗中，分析师性取向的问题以及患者对分析师自我披露的要求，成为了一个移情核心，围绕这个核心可以探索和澄清患者的个体动态及青春期困境。
