Hoffman I Z, Gill M M
Northwestern Memorial Hospital, Institute of Psychiatry, Chicago, Illinois 60601.
Int J Psychoanal. 1988;69 ( Pt 1):55-64.
We began by reviewing our method for studying the patient's experience of the relationship with the analyst. Among the highlights of the method is the coding of allusions to the transference in associations that are not manifestly about the transference. We went on to describe a modification in our point of view that has occurred since the coding scheme was published in 1982. This change entails greater emphasis upon the value of a certain kind of participation on the part of the analyst, one which invariably includes some degree of re-enactment of neurotic patterns of relatedness. We feel that the process is frequently enriched when it includes both the interactive expression of the tendency towards enactment and its examination. We compared our viewpoint with Weiss & Sampson and the Mount Zion group who seem to promote an ideal in which the analyst does not yield at all to the pressures of the neurotic transference. We concluded with some general reflections on psychoanalytic process research. Central among these is the idea that research hypotheses and methods should continually be revised to take account of the complexity of the process that we know of as practitioners.
我们首先回顾了研究患者与分析师关系体验的方法。该方法的亮点之一是对那些并非明显关于移情的联想中对移情的暗示进行编码。我们接着描述了自1982年编码方案发表以来我们观点上的一个变化。这一变化意味着更加强调分析师某种参与方式的价值,这种参与方式总是包括在一定程度上重演神经质的关系模式。我们认为,当这个过程既包括对重演倾向的互动表达又包括对其审视时,它常常会更加丰富。我们将自己的观点与韦斯和桑普森以及锡安山小组的观点进行了比较,他们似乎倡导一种理想状态,即分析师完全不屈从于神经质移情的压力。我们最后对精神分析过程研究进行了一些总体思考。其中核心的观点是,研究假设和方法应该不断修订,以考虑到我们作为从业者所了解的这一过程的复杂性。