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精神分析学家的问题与好奇心。

The questions and curiosity of the psychoanalyst.

作者信息

Boesky D

机构信息

Michigan Psychoanalytic Institute.

出版信息

J Am Psychoanal Assoc. 1989;37(3):579-603. doi: 10.1177/000306518903700301.

Abstract

Questions the analyst asks of the patient are a powerful but neglected aspect of the theory of psychoanalytic technique. Their importance resides in their dynamic impact on the psychic equilibrium of the patient because of their ability to destabilize existing compromise formations. A clinical vignette illustrates the view that the linguistic shift from other modes of discourse to the spoken question heralds a less visible parallel shift in the psychic equilibrium of either the psychoanalyst or patient. There is no more and no less complexity to questions than to any other communication by either analyst or patient. For that reason there can be no systematic classification of questions in the clinical psychoanalytic situation, just as there can be no definitive taxonomy of psychoanalytic discourse. It makes no sense to reduce the enormous diversity and range of all the questions the analyst asks to the simple dichotomy of good or bad for the analysis. Questions are the emblem of the analyst's mode of inquiry; they can further the development of self-observation, which is such an important concomitant, cause, and consequence of structural change.

摘要

分析师向患者提出的问题是精神分析技术理论中一个强大但被忽视的方面。它们的重要性在于,由于它们有能力破坏现有的妥协形式,从而对患者的心理平衡产生动态影响。一个临床案例说明了这样一种观点,即从其他话语模式到口头提问的语言转变预示着精神分析师或患者心理平衡中一种不太明显的平行转变。问题的复杂性与分析师或患者的任何其他交流并无二致。因此,在临床精神分析情境中,不可能对问题进行系统分类,就如同不可能对精神分析话语进行明确的分类一样。将分析师提出的所有问题的巨大多样性和范围简单地归结为对分析有利或不利的二分法是没有意义的。问题是分析师探究模式的象征;它们可以促进自我观察的发展,而自我观察是结构变化的一个如此重要的伴随因素、原因和结果。

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