Marcus Barbara F, McNamara Susan
Yale University School of Medicine, USA.
J Am Psychoanal Assoc. 2013 Feb;61(1):45-66. doi: 10.1177/0003065112468489. Epub 2012 Nov 29.
Despite recognizing that gender identity is a complex compromise formation, psychotherapists struggle to tolerate gender variance. We still tend to favor binary gender identities and clear developmental lines, rather than embracing a stance of subversive curiosity about the variability and fluidity of gender in our patients. When gender identity is fluid or ambiguous, countertransferential affective disturbances can arise that meld states of abjection and excitement, challenging theoretical constructs and threatening therapeutic neutrality. Case material from the treatment of a female-to-male trans person is presented from the perspective of the transference-countertransference matrix.
尽管认识到性别认同是一种复杂的妥协形成，但心理治疗师仍难以容忍性别差异。我们仍然倾向于支持二元性别认同和清晰的发展路线，而不是对患者性别中的变异性和流动性采取一种颠覆性好奇的立场。当性别认同是流动的或模糊不清时，可能会出现反移情情感障碍，这种障碍融合了厌恶和兴奋的状态，挑战理论结构并威胁治疗中立性。本文从移情-反移情矩阵的角度呈现了一位女性向男性转变者的治疗案例材料。
