Glucksman Myron L, Kramer Milton
New York Medical College, USA.
J Am Acad Psychoanal Dyn Psychiatry. 2011 Summer;39(2):263-83. doi: 10.1521/jaap.2011.39.2.263.
The authors collected the initial dreams of treatment from 63 patients and independently evaluated the manifest dream report (MDR). Variables included: Affect and Valence of Affect; Associations; Psychodynamic Theme; Psychodynamic Theme as Predictor of Core Psychodynamic Issues; Transference; Gender; Psychodynamic Theme Categories; Clinical Progress in relation to Psychodynamic Theme Categories and Transference. The initial MDR invariably contains Affect that is frequently Negative. The Psychodynamic Themes of MDRs are dependable predictors of Core Psychodynamic Issues that emerge during treatment. Transference is evident in a significant number of MDRs and is often Negative. Gender of the majority of MDRs is predictable. The most frequent Psychodynamic Themes of initial MDRs fall into Relational and Injury Categories. Relational and Injury Themes, as well as Positive and Negative Transference, are associated with clinical progress. This study confirms that the initial MDR of treatment provides a significant amount of clinical and predictive information.
作者收集了63名患者的初始治疗梦境，并独立评估了显性梦境报告（MDR）。变量包括：情感及情感效价；联想；心理动力学主题；作为核心心理动力学问题预测指标的心理动力学主题；移情；性别；心理动力学主题类别；与心理动力学主题类别和移情相关的临床进展。初始MDR总是包含情感，且情感往往为负面。MDR的心理动力学主题是治疗期间出现的核心心理动力学问题的可靠预测指标。移情在大量MDR中很明显，且往往为负面。大多数MDR的性别是可预测的。初始MDR最常见的心理动力学主题属于关系类和伤害类。关系和伤害主题，以及正向和负向移情，都与临床进展相关。这项研究证实，治疗的初始MDR提供了大量临床和预测信息。
