Consoli Sylvie G, Consoli Silla M
Private practice, 7 Rue Mouton-Duvernet, FR-75014 Paris, France.
Acta Derm Venereol. 2016 Aug 23;96(217):18-21. doi: 10.2340/00015555-2414.
The doctor-patient relationship in dermatology, as in all the fields of medicine, is not a neutral relationship, removed from affects. These affects take root in the sociocultural, professional, family and personal history of both persons in the relationship. They underpin the psychic reality of the patients, along with a variety of representations, preconceived ideas, and fantasies concerning dermatology, the dermatologists or the psychiatrists. Practitioners call these "countertransference feelings", with reference to the psychoanalytical concept of "countertransference". These feelings come forward in a more or less conscious way and are active during the follow-up of any patient: in fact they can facilitate or hinder such a follow-up. Our purpose in focusing on this issue is to sensitize the dermatologists to recognizing these countertransference feelings in themselves (and the attitudes generated by them), in order to allow the patients and doctors to build a dynamic, creative, trustful and effective relationship.
与所有医学领域一样，皮肤科领域的医患关系并非超脱情感的中立关系。这些情感扎根于医患双方的社会文化、职业、家庭和个人经历之中。它们与各种关于皮肤科、皮肤科医生或精神科医生的表象、先入之见及幻想一道，构成了患者的心理现实。从业者参照精神分析学中的“反移情”概念，将这些情感称为“反移情感受”。这些感受以或多或少有意识的方式显现出来，并在任何患者的随访过程中发挥作用：事实上，它们既可能促进也可能阻碍这种随访。我们关注这一问题的目的在于促使皮肤科医生意识到自身的这些反移情感受（以及由它们产生的态度），从而使医患双方能够建立起动态、富有创造性、相互信任且有效的关系。
