Willemsen Jochem, Della Rosa Elena, Kegerreis Sue
Centre for Psychoanalytic Studies, University of Essex Colchester, UK.
Front Psychol. 2017 Feb 2;8:108. doi: 10.3389/fpsyg.2017.00108. eCollection 2017.
This manuscript provides a review of the clinical case study within the field of psychoanalytic and psychodynamic treatment. The method has been contested for methodological reasons and because it would contribute to theoretical pluralism in the field. We summarize how the case study method is being applied in different schools of psychoanalysis, and we clarify the unique strengths of this method and areas for improvement. Finally, based on the literature and on our own experience with case study research, we come to formulate nine guidelines for future case study authors: (1) basic information to include, (2) clarification of the motivation to select a particular patient, (3) information about informed consent and disguise, (4) patient background and context of referral or self-referral, (5) patient's narrative, therapist's observations and interpretations, (6) interpretative heuristics, (7) reflexivity and counter-transference, (8) leaving room for interpretation, and (9) answering the research question, and comparison with other cases.
本手稿对精神分析和心理动力治疗领域内的临床案例研究进行了综述。由于方法学原因以及该方法会导致该领域理论多元化,该方法一直存在争议。我们总结了案例研究方法在不同精神分析流派中的应用方式,并阐明了该方法的独特优势和有待改进的领域。最后,基于文献以及我们自己在案例研究方面的经验,我们为未来的案例研究作者制定了九条指导方针:(1)应包含的基本信息;(2)选择特定患者的动机说明;(3)关于知情同意和掩饰的信息;(4)患者背景以及转诊或自我转诊的背景;(5)患者的叙述、治疗师的观察和解释;(6)解释性启发法;(7)反思性和反移情;(8)留出解释空间;(9)回答研究问题,并与其他案例进行比较。