Kumin I
Int J Psychoanal. 1989;70 ( Pt 1):141-52.
Incorrect interpretations are unavoidable given that the nature of psychoanalytic inference is inexact, that the interactional pressures which are brought to bear may be intense, and that the analyst is human. However, the potentially harmful iatrogenic effect of incorrect interpretations upon the patient must be acknowledged and analysed. The patients develops a transitional relationship to the analyst's interpretations which is disrupted by interpretive errors and replaced by transference reactions to a pathogenic object. The patient's response repeats, in microcosm, his past affective and defensive responses to similar environmental lapses or impingements. Only if the analyst is aware of the patient's experience of the actuality of his error and rectifies it can the integrity of the patient's self-experience be restored, his response analysed in the transference, and reconstructions formulated about the antecedents of such reactions in the patient's past.
鉴于精神分析推理的本质是不精确的，施加的互动压力可能很大，而且分析师也是人，因此错误的解读是不可避免的。然而，必须认识到并分析错误解读对患者潜在的有害医源性影响。患者与分析师的解读形成一种过渡性的关系，这种关系会因解读错误而受到干扰，并被对致病客体的移情反应所取代。患者的反应在微观层面上重复了他过去对类似环境失误或冲击的情感和防御反应。只有当分析师意识到患者对其错误现实的体验并加以纠正时，患者自我体验的完整性才能得以恢复，其在移情中的反应才能得到分析，并且才能对患者过去此类反应的前因进行重构。
