Thomä H
Z Psychosom Med Psychoanal. 1977 Jan-Mar;23(1):35-55.
In the history of psychoanalysis the problem of suggestion has been a central one. At first it involved the necessity to establish the psychoanalytic technique as independent scientific paradigm in contrast to persuasion and hypnosis. However, it was not only the symptom-oriented suggestion that had to be given up for scientific reasons and reasons of treatment technique. Since professional and human factors as well could have influenced the psychoanalytic situation to revert to the traditional "suggestion", Freud has given some technical considerations (e.g. the mirror-analogy), that were meant to counteract the confusion of the psychoanalytic technique with the persuasive one that had to come up to late. The discovery of the transference phenomena has further complicated the problem. It became obvious that the capacity of the analyst to exert an influence and to have impact, originated in very basic human categories and their specific psychogenetic developments and distortions. This understanding contributed to the development of psychoanalytic theories of suggestibility. Until the present day the discovery of the transference phenomena has determined the discussions of psychoanalytic technique in term of the relationship between the special and general therapeutic factors (i.e. interpretation versus relationship). The departure from the therapeutic mode of persuasive suggestion and the introduction of psychoanalytic technique signaled the revolutionary paradigm of Sigmund Freud, i.e. the active participation of the patient and the process of observation. Often scientific problems related to this pradigm and suggestion are discussed concurrently.
在精神分析的历史中,暗示问题一直是核心问题。起初,它涉及到将精神分析技术确立为一种独立的科学范式的必要性,以区别于说服和催眠。然而,出于科学原因和治疗技术原因,不仅以症状为导向的暗示必须被摒弃。由于专业因素和人为因素也可能影响精神分析情境,使其回归到传统的“暗示”,弗洛伊德给出了一些技术考量(如镜像类比),旨在防止精神分析技术与后来出现的说服性技术相混淆。移情现象的发现使问题进一步复杂化。很明显,分析师施加影响和产生作用的能力源于非常基本的人类范畴及其特定的心理发生发展和扭曲。这种理解推动了关于暗示性的精神分析理论的发展。直到今天,移情现象的发现决定了在特殊治疗因素和一般治疗因素(即解释与关系)之间的关系方面对精神分析技术的讨论。背离说服性暗示的治疗模式并引入精神分析技术标志着西格蒙德·弗洛伊德的革命性范式,即患者的积极参与和观察过程。与这种范式和暗示相关的科学问题常常同时被讨论。