Bridges N A, Smith J M
Department of Psychiatry, Cambridge Hospital, Harvard Medical School, Belmont, MA 02178.
Psychiatry. 1988 Feb;51(1):104-9.
A therapist's pregnancy affects a broad range of issues in long-term psychotherapeutic treatment, yet the literature has understated the magnitude of the pregnancy's impact on sicker patients. Because of their illnesses and particularly their difficulty in tolerating loss, patients with serious personality disorders or psychotic illnesses are at high risk for increased dysfunction and destructive acting out during the therapist's pregnancy. Although these patients tend to be sensitive to any event in the therapist's life that symbolizes loss (such as a vacation), the pregnancy of a therapist is a more potent disruption.
治疗师怀孕会在长期心理治疗中影响一系列广泛的问题，但文献低估了怀孕对病情较重患者的影响程度。患有严重人格障碍或精神疾病的患者，由于其病情，尤其是难以承受丧失，在治疗师怀孕期间功能失调加剧和出现破坏性行为的风险很高。尽管这些患者往往对治疗师生活中任何象征丧失的事件（如休假）都很敏感，但治疗师怀孕是更具影响力的干扰因素。
