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心理治疗督导中的真实关系。

The real relationship in psychotherapy supervision.

作者信息

Watkins C Edward

机构信息

Department of Psychology, University of North Texas, 1155 Union Circle # 311280, Denton, TX 76203-5017, USA.

出版信息

Am J Psychother. 2011;65(2):99-116. doi: 10.1176/appi.psychotherapy.2011.65.2.99.

DOI:10.1176/appi.psychotherapy.2011.65.2.99
PMID:21847889
Abstract

While the real relationship has long been addressed in psychoanalysis and psychotherapy, the matter of the real relationship in psychotherapy supervision has yet to receive any attention. Ample supervisory focus has indeed been given to the working alliance and transference-countertransference configuration (including parallel processes), but after a century of psychotherapy supervision, any mention whatsoever of real relationship phenomena is absent. In this paper, the following hypotheses are proposed: The real relationship (1) is a crucial component of the supervision relationship that has transtheoretical implications; (2) exists from the moment supervision begins until its end; (3) is the forever silent yet forever substantive contributor to supervisory process and outcome; (4) exerts a significant impact on (a) the development and establishment of the supervisory working alliance and (b) the unfolding and eventual utilization of the transference-countertransference experience in the supervisory situation; (5) consists of at least two dimensions in supervision--realism and genuineness--that vary along valence and magnitude continua (building on the works of Greenson and Gelso), and (6) deserves a place of eminence equal to the working alliance and transference-countertransference configuration if supervision theory, practice, and research are to be most fully informed. The possibility of using recent real relationship research in psychotherapy as a prototype to inform future research in supervision is presented, and two case examples are provided to illustrate the seeming power of real relationship phenomena in psychotherapy supervision.

摘要

虽然真实关系在精神分析和心理治疗中早已得到探讨,但心理治疗督导中的真实关系问题尚未受到任何关注。实际上,督导工作的重点确实放在了工作联盟以及移情 - 反移情配置(包括平行过程)上,然而在经过一个世纪的心理治疗督导之后,却完全没有提及任何真实关系现象。本文提出以下假设:真实关系(1)是督导关系的关键组成部分,具有跨理论的意义;(2)从督导开始直至结束一直存在;(3)是督导过程和结果中永远沉默却永远至关重要的因素;(4)对(a)督导工作联盟的发展与建立以及(b)督导情境中移情 - 反移情体验的展开与最终利用产生重大影响;(5)在督导中至少由两个维度组成——现实性和真诚性——它们沿着效价和强度连续体变化(基于格林森和盖尔索的研究成果),并且(6)如果要使督导理论、实践和研究得到最充分的依据,那么它理应获得与工作联盟以及移情 - 反移情配置同等重要的地位。本文还提出了以心理治疗中近期的真实关系研究为原型来指导未来督导研究的可能性,并提供了两个案例示例来说明真实关系现象在心理治疗督导中看似强大的影响力。

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