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[精神分析治疗技术中的沟通与理解方面]

[Aspects of communication and understanding in psychoanalytic treatment technics].

作者信息

Boothe B

出版信息

Psychother Psychosom Med Psychol. 1989 Nov;39(11):423-8.

PMID:2685863
Abstract

Psychoanalysis was linked, since its very beginning, to the building-up of a communicative relationship, the creation of a basis of understanding between individuals who, at first, do not necessarily understand each other. This non-understanding may be caused by the peculiarity, strangeness and the bizarrery of the symptomatic or of the personal appearance of a patient, or cultural differences in the narrower or the broader sense may be responsible for it. Furthermore, the anticipations raised by the analyst and the peculiarity of the psychoanalytic situation may often seem strange and unfamiliar to the patient. The significance of the effort in establishing a communicative basis between partners having each its own personal history and originating from different social and cultural roots becomes even more evident when it comes to the discussion of the therapeutic technique to use in difficult, may be pre-oedipal pathologies. Here, it will probably not be the primary scope to lead the patient to insights, at least for a long part in the course of the therapy, but to aim at attaining the ability to experience himself as a competent communicative individual in an exchange relation with the analyst. Then, the therapist will not be, in the first place, the understanding, interpreting, persuading partner, he will not only be the holding partner but also a listening one whose basic attitude will aim at creating a free space in which the patient will be able to articulate his own imaginative world.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

从一开始,精神分析就与建立一种交流关系联系在一起,即在起初不一定相互理解的个体之间创建一个理解的基础。这种不理解可能是由患者症状或个人外表的独特性、怪异和离奇所导致的,或者狭义或广义上的文化差异也可能对此负有责任。此外,分析师所引发的预期以及精神分析情境的独特性,对患者来说往往可能显得陌生和不熟悉。当涉及到讨论用于治疗困难的、可能是前俄狄浦斯期病理状态的治疗技术时,在有着各自个人经历且来自不同社会和文化根源的伙伴之间建立交流基础的努力的重要性就变得更加明显。在这里,至少在治疗过程的很长一段时间内,引导患者获得领悟可能不是主要目标,而是旨在使患者能够在与分析师的交流关系中体验到自己是一个有能力交流的个体。那么,治疗师首先将不是那个理解、解释、劝说的伙伴,他不仅将是提供支持的伙伴,而且还是一个倾听者,其基本态度将旨在创造一个自由空间,使患者能够表达自己富有想象力的世界。(摘要截选至250词)

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