London.
J Anal Psychol. 2021 Sep;66(4):793-812. doi: 10.1111/1468-5922.12717.
There have been many reflections, both individual and collective within our Institutes, on the effects on our work with patients caused by COVID-19 and the requirement to move suddenly from the setting of our own consulting rooms to working with patients online (see also, the previous issue of this Journal). This paper focuses on what we have learned from these experiences that can add to our knowledge about the role of the setting in analytic work. Drawing on Bleger's (1967) seminal paper highlighting the usual setting as a mute projection carrier for primitive wishes and affects, the paper explores how different patients have reacted to the loss of the analyst as the guardian of the setting and in particular as an embodied presence. Some key questions and challenges for both patients and analysts during the pandemic, when 'the setting begins to weep', are explored.
我们机构内部已经对 COVID-19 对我们与患者合作的影响进行了多次反思，并且需要突然从我们自己的诊室环境转移到在线与患者合作（也可参见本刊之前的一期）。本文重点介绍了我们从这些经验中学到的知识，这些知识可以增加我们对设置在分析工作中的作用的认识。本文借鉴了 Bleger（1967）的开创性论文，该论文强调了通常的设置是原始愿望和情感的无声投影载体，探讨了不同的患者对分析师作为设置守护者的丧失以及特别是对分析师作为具体存在的丧失的反应。探讨了在大流行期间，当“设置开始哭泣”时，患者和分析师面临的一些关键问题和挑战。
