Burka Jane, Sowa Angela, Baer Barbara A, Brandes Charles E, Gallup Josie, Karp-Lewis Sharon, Leavitt Julie, Rosbrow Patricia
Psychoanalytic Institute of Northern California, Oakland, CA, USA.
Psychoanalytic Institute of Northern California, Palo Alto, CA, USA.
Int J Psychoanal. 2019 Apr;100(2):247-271. doi: 10.1080/00207578.2019.1570218.
This article presents an in-depth study of one institute's efforts to recover from effects of ethical violations by two senior members. Qualitative data analysis from voluntary member interviews details the damage that spread throughout the institute, demonstrating that a violation of one is a violation of many. Members at all levels reported feeling disturbed in ways that affected their emotional equilibrium, their thinking processes, and their social and professional relationships. The aggregated interview data were reported to the institute community in large and small group meetings designed to reverse the "disease of silence" and to allow members to talk with each other. Outside consultation helped with this emotionally arduous process. The authors offer hypotheses concerning the nature of group anxieties during ethics crises. We assert that both sexual non-sexual boundary violations break the incest taboo, as they breach the generational protection required of professional interactions. Ethical violations attack the group's foundational ethos of care, unleashing primitive anxieties and defences that interfere with capacities for thinking, containment, collaboration, and integration. Since the full reality of what happened is unknowable, hybrid truths emerge, causing conflict and disturbances that inhibit thoughtful group discourse.
本文深入研究了一家机构为从两名资深成员的道德违规行为造成的影响中恢复过来所做的努力。对自愿参与的成员访谈进行的定性数据分析详细阐述了波及整个机构的损害，表明一人的违规就是对多人的违规。各级成员都报告称在情感平衡、思维过程以及社交和职业关系等方面受到了困扰。汇总的访谈数据在旨在扭转“沉默之疾”并让成员相互交流的大小组会议上向机构群体进行了汇报。外部咨询对这一情感上艰难的过程起到了帮助作用。作者们就道德危机期间群体焦虑的性质提出了假设。我们断言，无论是性方面还是非性方面的边界侵犯都打破了乱伦禁忌，因为它们违反了专业互动所需的代际保护。道德违规行为冲击了群体的基本关怀精神，引发了原始的焦虑和防御机制，这些机制干扰了思考、控制、协作和整合的能力。由于所发生事情的全部真相是不可知的，混合真相出现了，引发了冲突和干扰，阻碍了群体的深入讨论。
