Sandberg Larry S
Clinical Associate Professor of Psychiatry at Weill Cornell Medical Center and a Lecturer at Columbia University Center for Psychoanalytic Training and Research.
Psychoanal Q. 2014 Jan;83(1):97-120. doi: 10.1002/j.2167-4086.2014.00078.x.
The value of medication for some patients in psychoanalysis serves to highlight the potential challenges of the medical analyst and invites exploration into possible motivations for assuming the prescribing role. Prescribing medication is one way in which the medical analyst integrates the dual identities of physician and analyst while dealing with significant cultural influences and intrapsychic tensions. Technical challenges posed by assuming the prescribing role are explored, as are the potential benefits of split treatment. The educational implications of this argument are discussed in relation to identity formation for candidates who are physicians.
药物治疗对精神分析中某些患者的价值,凸显了医学分析师面临的潜在挑战,并促使人们探究承担开药角色的可能动机。开药是医学分析师在应对重大文化影响和心理内部紧张关系时,整合医生和分析师双重身份的一种方式。文中探讨了承担开药角色所带来的技术挑战,以及分开治疗的潜在益处。还结合医生候选人的身份形成,讨论了这一观点的教育意义。