Smith H F
Int J Psychoanal. 1990;71 ( Pt 2):219-28.
In spite of Freud's recommendation in his postscript to Dora, analysts may neglect, as Schwaber has pointed out, the patient's perception of the analyst's participation in the analytic context. Examination of the patient's experience of the 'external', by attending to the patient's search for and use of perceptual cues, can lead to essential aspects of the patient's intrapsychic life. Beginning with the description of a particular analytic intervention, the author discusses the nature of cues, their origins developmentally, their role in the development of transference and in the generation of a particular form of resistance, and their place in the ongoing clarification of the transference, countertransference and the analyst's technique. The author then contrasts the approach described with positions taken by Langs, Gill and Sandler, and discusses why Freud's recommendations may have been neglected.
尽管弗洛伊德在给多拉的后记中提出了建议，但正如施瓦伯所指出的，分析师可能会忽视患者对分析师在分析情境中参与度的感知。通过关注患者对感知线索的寻找和运用来审视患者对“外部”的体验，能够揭示患者内心生活的关键方面。作者从对一次特定分析干预的描述入手，探讨了线索的本质、其在发展过程中的起源、在移情发展及特定形式阻抗产生中的作用，以及它们在持续澄清移情、反移情和分析师技术方面所占据的位置。作者随后将所描述的方法与兰斯、吉尔和桑德勒所采取的立场进行了对比，并讨论了为何弗洛伊德的建议可能被忽视。
