Wiesse J, Weinstock-Kroczek E
Klinikum Nürnburg, Abteilung für Kinder- und Jugendpsyciatrie, West Germany.
Adolescence. 1989 Summer;24(94):403-10.
The theme of this paper is the well-known resistance of adolescents to participate in analytic treatment and analysts' reservations about treating adolescents, which is perhaps less well known. Several reasons are discussed: For adolescents, the revival of separational and fusional anxieties during the process of individuation as well as resistance to the analytic setting are held responsible; analysts may lack sufficient awareness of their own adolescence and its resulting anxieties to be able to confront this developmental period. In addition, there are countertransference anxieties that are triggered and kept alive by the behavior of the juvenile patient. The different types of analyst anxieties as well as those of the adolescent under analysis are explained and their significance in the process of individuation and the course of therapy is noted.
本文的主题是青少年抗拒参与精神分析治疗这一广为人知的现象，以及分析师对于治疗青少年有所保留的态度，这一点或许鲜为人知。文中讨论了几个原因：对于青少年而言，个体化过程中分离焦虑和融合焦虑的复苏以及对分析环境的抗拒被认为是原因所在；分析师可能对自身的青春期及其引发的焦虑缺乏足够的认识，从而无法应对这一发展阶段。此外，青少年患者的行为会引发并维持反移情焦虑。文中解释了分析师的不同类型焦虑以及接受分析的青少年的焦虑，并指出了它们在个体化过程和治疗过程中的重要性。
