Goldberg Steven H, Grusky Zenobia
San Francisco Center for Psychoanalysis, Psychoanalytic Institute of Northern California, CA, USA.
Psychoanal Q. 2013 Jan;82(1):145-78. doi: 10.1002/j.2167-4086.2013.00016.x.
Certain patients overwhelm the analyst's capacity to contain both the patient and the analyst's own unbearable feelings. Though some such failures of containing may lead fairly quickly to self-correction and others to clinical impasse, our focus is on an in-between state in which the analyst's ability to tolerate his inevitable failures and gradually to (re)establish his containing capacities through difficult self-analytic work can lead to significant change that might not otherwise be possible. The authors argue that this internal psychological work on the analyst's part, which may require considerable time, effort, and suffering, is an important aspect of "good enough" containing. The unique chemistry generated between patient and analyst plays an important role in both establishing and maintaining this kind of productive analytic process.
某些患者超出了分析师容纳患者以及自身难以承受的情感的能力。尽管有些这样的容纳失败可能会相当迅速地导致自我纠正，而另一些则会导致临床僵局，但我们关注的是一种中间状态，在这种状态下，分析师容忍自己不可避免的失败并通过艰难的自我分析工作逐渐（重新）建立其容纳能力的能力，能够带来原本可能无法实现的重大改变。作者认为，分析师这方面的内心心理工作，可能需要大量的时间、精力和痛苦，是“足够好”的容纳的一个重要方面。患者与分析师之间产生的独特“化学反应”在建立和维持这种富有成效的分析过程中都起着重要作用。
