Lasky R
Int J Psychoanal. 1990;71 ( Pt 3):455-73.
The author reviews the fact that there is very little literature available on catastrophic illness in the analyst and the analyst's emotional reactions to it, compared with other topics of interest. Some of the factors suggested to account for this are exhibitionistic concerns, concerns about one's privacy (including psychic privacy), embarrassment related to countertransference, and concerns about losses of referrals if colleagues perceive the analyst to be impaired. The author then draws a distinction between the emotional life of analysts and countertransference, and discusses how and why he defines them differently. The major part of the paper then goes on to discuss two major technical questions in considerable detail: (a) whether or not to give factual information to patients about one's condition, and (b) the manner in which the material is introduced into the analysis. A number of case examples are cited. The author closes with a discussion of the question of the pros and cons of reporting on the experience immediately versus waiting for the passage of time.
作者回顾了一个事实，即与其他感兴趣的主题相比，关于分析师的灾难性疾病以及分析师对此的情绪反应的文献非常少。一些被认为可以解释这一现象的因素包括暴露癖问题、对个人隐私（包括心理隐私）的担忧、与反移情相关的尴尬，以及如果同事认为分析师受损会担心失去转诊。作者随后区分了分析师的情感生活和反移情，并讨论了他如何以及为何对它们进行不同的定义。论文的主要部分接着相当详细地讨论了两个主要的技术问题：（a）是否向患者提供关于自己病情的事实信息，以及（b）将该材料引入分析的方式。文中引用了一些案例。作者最后讨论了立即报告该经历与等待一段时间后报告的利弊问题。
