Modestin J
Psychiatric University Clinic, Bern, Switzerland.
Br J Med Psychol. 1987 Dec;60(4):379-85. doi: 10.1111/j.2044-8341.1987.tb02757.x.
Counter-transference reactions are frequently elicited while treating suicidal patients and they may contribute to the patient's committing suicide. Therapeutic constellations including the failure of the therapist to (1) cope with the patient's aggressiveness, (2) tolerate the patient's dependency, (3) handle the erotic transference adequately and (4) preserve loyalty towards the patient; they have all been identified as being responsible for a therapeutic impasse with fatal consequences. Knowledge of the therapeutic constellations especially prone to facilitate negative counter-transference reactions may help the therapist to master them effectively.
在治疗有自杀倾向的患者时,经常会引发反移情反应,这些反应可能促使患者自杀。治疗中出现的一些情况,包括治疗师未能(1)应对患者的攻击性,(2)容忍患者的依赖性,(3)妥善处理色情移情,以及(4)保持对患者的忠诚;所有这些都被认为是导致治疗陷入僵局并产生致命后果的原因。了解特别容易引发负面反移情反应的治疗情况,可能有助于治疗师有效地掌控它们。