Schweitzer L, Jarrett D, Simons R C
Int J Psychoanal Psychother. 1975;4:495-506.
A case is presented in which a patient's presenting symptoms of impotence and a pervasive inhibition of productivity are dynamically related to a cryptorchild condition which was discovered and treated during childhood. The importance of the cryptorchid condition and its relationship to the patient's later psychopathology are examined. However, it is the therapist's reaction to the clinical material that is the paricular focus of his paper. The therapist obtained the history of cryptorchism in the fifth month of treatment, and then subsequently repressed this data. In addition, a persistent countertransference reaction developed that threatened to disrupt the treatment relationship. In reviewing the course of the therapy, it was possible to determine that the therapist's repression of the patient's cryptorchism and his subsequent countertransference response were directly related to his own repressed testicular conflicts. The implications regarding the existence of similar conflicts in other therapists are discussed.
本文介绍了一个病例，患者出现阳痿症状以及生产力普遍受到抑制，这些症状与童年时期发现并治疗的隐睾症动态相关。文中探讨了隐睾症的重要性及其与患者后期精神病理学的关系。然而，本文特别关注的是治疗师对临床资料的反应。治疗师在治疗的第五个月获得了隐睾症病史，随后却压制了这些数据。此外，还产生了持续的反移情反应，有可能破坏治疗关系。在回顾治疗过程时，可以确定治疗师对患者隐睾症的压制及其随后的反移情反应与他自己被压抑的睾丸冲突直接相关。文中还讨论了其他治疗师中存在类似冲突的可能性。
