Chefetz Richard A
Psychiatrist in private practice in Washington, D.C. He was President of the International Society for the Study of Trauma and Dissociation (2002-2003), and is a Distinguished Visiting Lecturer at the William Alanson White Institute of Psychiatry, Psychoanalysis, and Psychology. He is a faculty member at the Washington School of Psychiatry, the Institute of Contemporary Psychotherapy & Psychoanalysis, and the Washington-Baltimore Center for Psychoanalysis.
Psychodyn Psychiatry. 2019 Spring;47(1):53-80. doi: 10.1521/pdps.2019.47.1.53.
Neuroscientific information may transform the modern practice of psychotherapy. Still we must pay heed to the most salient of the common factors generating therapeutic change: the relationship between patient and therapist. Likewise, brain and body are both part of mind and we ignore this at our clinical peril. Research on affective, cognitive, mnemic, somatic, psychophysiologic, developmental, and integrative mental processes, amongst others, must hold to a high standard of translation from basic scientific findings or we risk practicing a psychotherapy enslaved to an authoritarian scientism as a substitute for the creation of unfettered intimacy and engagement. A balanced approach is required if in trauma treatment, for example, we are to be both potential beneficiaries of understanding what is in our human heads while not losing track of our very human hearts. Each clinician need develop a basic knowledge of neuroscience in order to critically assess the meanings of new findings and their proper place in the practice of all the psychotherapies.
神经科学信息可能会改变心理治疗的现代实践。然而，我们必须关注产生治疗变化的最显著的共同因素：患者与治疗师之间的关系。同样，大脑和身体都是心智的一部分，我们若在临床中忽视这一点将面临风险。对情感、认知、记忆、躯体、心理生理、发育和整合性心理过程等方面的研究，必须坚持从基础科学发现进行高标准的转化，否则我们可能会陷入一种受专制科学主义束缚的心理治疗，而无法建立无拘无束的亲密关系和互动。例如，在创伤治疗中，如果我们既要成为理解人类大脑中所发生之事的潜在受益者，又不能忽视我们的内心，就需要一种平衡的方法。每位临床医生都需要掌握神经科学的基础知识，以便批判性地评估新发现的意义及其在所有心理治疗实践中的恰当位置。
