Heuer Birgit
London.
J Anal Psychol. 2017 Nov;62(5):720-731. doi: 10.1111/1468-5922.12359.
This paper addresses a gap between analytic clinical theory and practice which emerges when examining the words we work with via textual and narrative research of case histories. Both subject matter and methodology fit with the remit of conceptual research in psychoanalysis, currently ranging from inductive to nomothetical approaches. Research of clinical language reveals an implicit account of human nature and the world which undergirds clinical practice. Based in the critical philosophy of the previous century, this is termed clinical paradigm. Such implicit views are induced rather than explicitly taught during analytic training, and need to be spelled out in order to become available to discourse and difference of opinion. Textual research shows these implicit pre-clinical attitudes to be inherently pessimistic and thus too similar to the views of self and others found in cumulative relational trauma. Moreover, clinical accounts tend to normalize subtly antagonistic forms of relating, recently recognised as micro-trauma. Importantly, this contravenes the agapic orientation of our theories and ethics. Paradigmatic reflection as a form of professional individuation addresses this gap. This includes a more optimistic outlook which can be traced through the philosophical implications of quantum theory.
本文探讨了分析性临床理论与实践之间的差距，这种差距在通过对病史的文本和叙事研究来审视我们所使用的词汇时显现出来。主题和方法都符合精神分析概念研究的范畴，目前从归纳法到法则法都有涉及。对临床语言的研究揭示了一种隐含的人性观和世界观，它支撑着临床实践。基于上世纪的批判哲学，这被称为临床范式。这种隐含的观点是在分析训练过程中潜移默化形成的，而非明确传授的，需要阐明以便进行讨论和不同意见的交流。文本研究表明，这些隐含的临床前态度本质上是悲观的，因此与累积性关系创伤中发现的自我和他人观点过于相似。此外，临床描述往往会微妙地将具有潜在对抗性的关系形式正常化，这种形式最近被认为是微观创伤。重要的是，这违背了我们理论和伦理的无私关爱取向。作为一种专业个体化形式的范式反思解决了这一差距。这包括一种更乐观的观点，它可以通过量子理论的哲学含义追溯得到。
