Teachers College, Columbia University.
J Clin Psychol. 2018 May;74(5):734-742. doi: 10.1002/jclp.22603. Epub 2018 Mar 26.
This paper offers an integration of social issues, psychoanalytic theory, and analytic experience in the treatment of a patient whose political values and identifications differed significantly from my own. Our political leanings facilitated a dynamic tension of difference, power, and aggression that mirrored how each of us felt in relation to the current social-political milieu. In particular, the sadomasochistic dynamics on display in the treatment offered me a unique way of understanding my relationship with my patient and opened new ways of understanding the political present. In the end, I learned to stop worrying about getting rid of anger, aggression, and splitting, and instead to embrace what these feelings and behaviors can tell me as a therapist, and what they can inform for my patients about the nature of relationality, identity, and difference.
本文将社会问题、精神分析理论和分析经验融为一体，治疗了一位政治观点和身份认同与我大相径庭的患者。我们的政治倾向促成了一种动态的差异、权力和攻击张力，反映了我们每个人在当前社会政治环境中的感受。特别是，治疗中表现出的施虐受虐动态为我提供了一种独特的方式来理解我与患者的关系，并为我理解政治现状开辟了新的途径。最后，我学会了不再担心摆脱愤怒、攻击和分裂，而是接受这些感受和行为作为治疗师能告诉我的东西，以及它们能为我的患者提供关于关系、身份和差异本质的信息。
