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终止治疗后患者与分析师的接触:I. 分析师的态度与经历;II. 对患者的影响

Post-termination patient-analyst contact: I. Analysts' attitudes and experience; II. Impact on patients.

作者信息

Schachter J

出版信息

Int J Psychoanal. 1990;71 ( Pt 3):475-86.

PMID:2228446
Abstract

Post-termination patient-analyst review, due to the increased psychological distance from the patient provided by the passage of time, generates an advantaged perspective of the gains and limitations of analytic work than was possible at treatment termination. Despite analysts' widespread belief that such analyst-initiated contact is deleterious to the patient, assessment of clinical experience with such contacts by Luborsky, Martin and Schlessinger, as well as by re-evaluated data of Wallerstein, indicates little or no damage to patients, and in some cases distinct benefits. Analysts generally make post-termination contact with their patients conditional upon the patient's need for additional help, although their personal experience is of unconditional extensive contacts with their own training analyst. Whether expectation of and experience of substantial post-termination contact with the patient's analyst impacts on either the degree of mourning or of resolution of residual transference requires evaluation.

摘要

终止治疗后患者与分析师的回顾,由于时间的推移使与患者的心理距离增加,相较于治疗结束时,能产生对分析工作的收获和局限更具优势的视角。尽管分析师普遍认为这种由分析师发起的接触对患者有害,但鲁伯斯基、马丁和施莱辛格对这类接触的临床经验评估,以及沃勒斯坦重新评估的数据表明,对患者几乎没有损害,在某些情况下还有明显益处。分析师通常以患者是否需要额外帮助为条件与患者进行终止治疗后的接触,尽管他们自己的个人经历是与自己的培训分析师进行无条件的广泛接触。患者对与分析师进行大量终止治疗后接触的期望和经历是否会影响哀悼程度或残留移情的解决,这需要进行评估。

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