Yakeley Jessica
Portman Clinic, The Tavistock and Portman NHS Foundation Trust, London, UK.
Lancet Psychiatry. 2018 May;5(5):443-450. doi: 10.1016/S2215-0366(18)30052-X. Epub 2018 Mar 21.
Like any discipline, psychoanalysis has evolved considerably since its inception by Freud over a century ago, and a multitude of different psychoanalytic traditions and schools of theory and practice now exist. However, some of Freud's original ideas, such as the dynamic unconscious, a developmental approach, defence mechanisms, and transference and countertransference remain essential tenets of psychoanalytic thinking to this day. This Review outlines several areas within modern mental health practice in which contemporary adaptations and applications of these psychoanalytic concepts might offer helpful insights and improvements in patient care and management, and concludes with an overview of evidence-based psychoanalytically informed treatments and the links between psychoanalysis, attachment research, and neuroscience.
与任何学科一样,自一个多世纪前由弗洛伊德创立以来,精神分析已经有了相当大的发展,现在存在着众多不同的精神分析传统以及理论与实践流派。然而,弗洛伊德的一些原创观点,如动态无意识、发展方法、防御机制以及移情和反移情,至今仍是精神分析思维的核心原则。本综述概述了现代心理健康实践中的几个领域,在这些领域中,这些精神分析概念的当代改编和应用可能会为患者护理和管理提供有益的见解并带来改进,并以基于证据的精神分析导向治疗的概述以及精神分析、依恋研究和神经科学之间的联系作为结尾。