Levey Mark
Chicago Institute for Psychoanalysis, Chicago, IL, USA.
J Am Psychoanal Assoc. 2012 Jun;60(3):459-82. doi: 10.1177/0003065112440727. Epub 2012 Mar 30.
An operational description is presented of the clinical goals of analytic technique shared by various analytic orientations. This operational schema of their similarities is then used to organize their differences. In this schema, analytic schools differ from one another in three areas: the kind of unconscious content looked for in uncovering; aspects of the process considered subject to direct intervention; and the most effective stance and interventions with which to pursue their shared analytic goals. Organizing the differences between approaches in the context of shared analytic process goals makes it possible to clarify implicit clinical assumptions and to develop empirical rather than theoretical clinical discussions between analytic orientations. Understanding the intent or purpose of an intervention is useful in comparing approaches, exploring clinical controversies, clarifying implicit clinical assumptions, and understanding approaches more deeply in their own terms.
本文呈现了不同分析取向所共有的分析技术临床目标的操作性描述。然后，利用它们相似性的这一操作性模式来梳理它们的差异。在这个模式中，分析流派在三个方面彼此不同：在揭示过程中所探寻的无意识内容的类型；被认为可直接干预的过程方面；以及为实现其共同的分析目标而采取的最有效的立场和干预措施。在共同的分析过程目标背景下梳理各方法之间的差异，有助于阐明隐含的临床假设，并在不同分析取向之间展开基于实证而非理论的临床讨论。理解干预的意图或目的，对于比较不同方法、探讨临床争议、阐明隐含的临床假设以及从其自身角度更深入地理解各方法很有帮助。
