Waldinger R J
Am J Psychiatry. 1987 Mar;144(3):267-74. doi: 10.1176/ajp.144.3.267.
The author reviews major controversies in the literature regarding techniques of intensive psychodynamic therapy with borderline patients. These include debates about the importance of content versus process in the therapist's early interventions, the origins of transference, the primacy of positive versus negative transference in therapeutic work, the usefulness of early interpretation of negative transference, and the therapist's role in providing "corrective" experiences. He suggests that different conceptions of borderline psychopathology, different patient populations studied, variations in therapists' personality styles, and emphasis on different phases of treatment may account for the diversity of treatment techniques advocated in the literature.
作者回顾了文献中关于对边缘型患者进行强化心理动力疗法技术的主要争议。这些争议包括:治疗师早期干预中内容与过程的重要性之争、移情的起源、治疗工作中正向移情与负向移情的首要性、负向移情早期解释的效用,以及治疗师在提供“矫正性”体验中的作用。他认为,对边缘型精神病理学的不同概念理解、所研究的不同患者群体、治疗师人格风格的差异,以及对治疗不同阶段的强调,可能解释了文献中所倡导的治疗技术的多样性。