Berger D M
University of Toronto, Ontario.
Can J Psychiatry. 1989 Nov;34(8):775-8. doi: 10.1177/070674378903400806.
The concept of empathy has become a central issue in the debate between classical psychoanalysts and self psychologists. If one recognizes that dilemma is central to the human condition and that the two competing schools of psychoanalysis emphasize opposite sides of several parameters that are fraught with dilemma, it is possible to view them both as empathic. Three levels of empathy are discussed: empathizing with the patient's story as it stands; discovering new themes hidden away in the patient's narrative; and discovering significant patterns in the patient-therapist relationship itself. The concept of therapy as a self-correcting process that approaches but never quite attains objective accuracy is emphasized.
共情的概念已成为经典精神分析学家与自体心理学家之间争论的核心问题。如果有人认识到两难困境是人类状况的核心,并且这两种相互竞争的精神分析学派强调了几个充满两难困境的参数的相反方面,那么就有可能将它们都视为具有共情性的。本文讨论了三个共情层次:对患者原原本本的故事产生共情;发现隐藏在患者叙述中的新主题;以及发现患者与治疗师关系本身中的重要模式。文中强调了将治疗视为一个自我纠正过程的概念,该过程接近但永远无法完全达到客观准确性。