Sperling M B, Kibel H D, Loutsch E M
Department of Psychology, Fairleigh Dickinson University.
Int J Group Psychother. 1990 Jan;40(1):79-90. doi: 10.1080/00207284.1990.11490585.
Building upon Wolf's (1949) notion of the use of an alternate session in group psychotherapy, this paper suggests that an alternate therapist substituting for an absent regular therapist in milieu group psychotherapy can facilitate similar therapeutic benefits. The mechanism of this process of overcoming transference resistance is seen as twofold: (1) sessions with a substitute therapist allow patients to confront the infantilization often present in a milieu setting and experiment with more autonomous ego functioning. (2) Sessions with a substitute therapist create conditions which are apart from the ongoing process of the therapy group, thereby allowing for a therapeutic splitting process to develop wherein transference feelings about the regular therapist can be expressed to his or her "alter ego." Several case vignettes are presented in order to illustrate the clinical utility of a substitute therapist.
基于沃尔夫（1949年）在团体心理治疗中使用替代疗程的概念，本文提出，在环境团体心理治疗中，由替代治疗师代替缺席的常规治疗师可以带来类似的治疗效果。克服移情抵抗这一过程的机制被认为有两方面：（1）与替代治疗师的疗程让患者面对环境中常出现的幼稚化现象，并尝试更自主的自我功能运作。（2）与替代治疗师的疗程创造了脱离治疗团体正在进行的过程的条件，从而促成一个治疗性分裂过程的发展，在此过程中，对常规治疗师的移情感受可以向其“另一个自我”表达。文中呈现了几个病例 vignettes 以说明替代治疗师的临床效用。 （注：vignettes 未查到合适中文，保留英文）
