Levine Howard B
Int J Psychoanal. 2010 Dec;91(6):1385-404. doi: 10.1111/j.1745-8315.2010.00336.x.
This paper applies a contemporary, 'two-track'- transformational as well as archaeological - perspective on psychoanalytic process to clinical issues in the creation of analytic patients: case finding, recommending analysis, and recommending and negotiating the intensification of frequency of sessions in analytic psychotherapy. Central importance is assigned to the role of the mind and analytic identity of the analyst, including the analyst's capacity to maintain an internal analytic frame and analyzing attitude from the very first contact with the patient and throughout the treatment, the analyst's confidence in and conviction about the usefulness of analysis for a given analytic dyad and the role of the analyst's theory, which must be broad and consistent enough to allow the analyst to feel that he or she is operating analytically when addressing non-neurotic (unrepresented and weakly represented mental states) as well as neurotic structures.
本文运用当代“双轨”视角——变革性视角以及考古学视角，探讨精神分析过程在分析性患者治疗中的临床问题：病例发现、推荐分析治疗，以及在分析性心理治疗中推荐并协商增加治疗频次。分析师的心智与分析身份的作用被赋予核心地位，包括分析师从与患者首次接触直至整个治疗过程中，保持内部分析框架和分析态度的能力；分析师对特定分析二元组中分析治疗有效性的信心与信念；以及分析师理论的作用，该理论必须足够宽泛且连贯，以使分析师在处理非神经症性（未表征和弱表征的心理状态）以及神经症性结构时，能感觉自己是在进行分析操作。
