1912 Shippan Ave., Stamford, CT 06902. E-mail:
Psychoanal Rev. 2021 Jun;108(2):155-168. doi: 10.1521/prev.2021.108.2.155.
This paper elaborates on the implications of Heinz Kohut's radical revision of the concepts of introspection and empathy for psychoanalytic practice and therapeutics. I focus on three of Kohut's papers: "Introspection, Empathy, and Psychoanalysis," published in 1959, and its follow-up, "On Empathy", and "Introspection, Empathy, and the Semi-Circle of Mental Health," both published in 1981. Specifically, I address the importance of the analysand's introspective capacity as an active element in the therapeutic process augmented by the empathy of the analyst in the form of understanding and interpretation. Analysands enter psychoanalysis because they are aware that they cannot solve the problems with which they suffer or access the selfobject milieu that would help them. Through analysis patients' capacity for introspection and action is broadened and deepened, allowing them to understand and deal creatively with their problems, particularly their inability to fulfill the potential of their self.
本文阐述了海因茨·科胡特对精神分析实践和治疗学中内省和同理心概念的彻底修正的意义。我主要关注科胡特的三篇论文:1959 年发表的《内省、同理心与精神分析》及其后续作品《论同理心》和《内省、同理心与心理健康的半圆》,均发表于 1981 年。具体来说,我探讨了分析者的内省能力作为治疗过程中的一个积极因素的重要性,这种能力通过分析师的同理心——理解和解释——得到增强。分析者进入精神分析是因为他们意识到自己无法解决所面临的问题,也无法接触到有助于他们的自我客体环境。通过分析,患者的内省和行动能力得到了扩展和深化,使他们能够创造性地理解和处理自己的问题,特别是他们无法实现自我潜力的问题。