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主管工作的基本要素。

Essential elements of the work of a supervisor.

作者信息

De Masi Franco

机构信息

, Via Ramazzini 7, 20129, Milan, Italy.

出版信息

Am J Psychoanal. 2019 Sep;79(3):388-397. doi: 10.1057/s11231-019-09206-1.

Abstract

The supervisor's prime task is to consider from the very beginning the analytic ability of the analyst presenting the case; this can be assessed by observing how the colleague transcribes the clinical material and describes what is meaningful in the session. It is extremely important to understand whether the patient's suffering is neurotic, or whether he suffers from an initial psychotic disorder. In this latter case, the analyst will know that he cannot employ the same tools that he uses for the neurotic patient. It is fundamental to draw careful attention to the importance of the patient's personal history. In the process of reconstructing the past, the patient's difficulties are gradually understood by the analyst, the patient and the supervisor. Given that a memory may be distorted by present emotions and conflicts, the analyst must form meaningful hypotheses that, through reconstructing interaction with the original objects, help to comprehend the precarious equilibrium of the present. Over the course of supervision, I consistently emphasize the construction of the analytic relationship, which is based on the analyst's mind and of the patient's ability to communicate emotionally, so as to promote the analysand's mental growth.

摘要

督导的首要任务是从一开始就考量汇报病例的分析师的分析能力;这可以通过观察这位同事如何记录临床资料以及描述访谈中具有意义的内容来评估。了解患者的痛苦是属于神经症性的,还是患有原发性精神障碍,这极其重要。在后一种情况下,分析师会明白他不能运用针对神经症患者所使用的相同工具。密切关注患者个人史的重要性是至关重要的。在重构过去的过程中,分析师、患者和督导会逐渐理解患者的困难。鉴于记忆可能会被当前的情感和冲突所扭曲,分析师必须形成有意义的假设,通过重构与原始客体的互动,来帮助理解当前不稳定的平衡。在督导过程中,我始终强调基于分析师的思维以及患者情感沟通能力构建分析性的关系,以此促进被分析者的心理成长。

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