Knoll M
Psychiatr Prax. 1985 Jul;12(4):116-23.
The discussion about Euthanasia newly has raised the question on the violent implications of interaction in psychiatry. Psychiatry is under obligation of the forces of order on one, of the wish to help on the other side. This double bind reflects an interactional feature of construction which the psychotic patient has to go through, but which he carries on too. The selfreduplicative construction of originally individual double bind-situations corresponds to the patient's conception of live, but evokes a specific, only perceptible at short notice, disintigrating "double-bind-Wut" in the involved therapist, which mainly is endangering the patient. The state of "double-bind-Wut" and the working up of this rage is determined by the primary process therefore directly unconscious. We investigate to what extent the "double-bind-Wut" is to make perceptible and thus to handle; by the means of casuistic microstructures we give reasons for the assumption that the desintrating power of "double-bind-Wut" might become a methodical paradigm of future research.
最近关于安乐死的讨论引发了精神病学中互动暴力影响的问题。一方面，精神病学受秩序力量的约束，另一方面又有帮助他人的愿望。这种双重束缚反映了精神病患者必须经历且也在践行的一种建构性的互动特征。最初个体双重束缚情境的自我复制建构与患者的生活观念相对应，但会在相关治疗师身上引发一种特定的、短时间内才明显的、具有瓦解性的“双重束缚之怒”，这主要危及患者。“双重束缚之怒”的状态及其愤怒的消解由原发性过程决定，因此直接处于无意识状态。我们研究“双重束缚之怒”在多大程度上能够被察觉并进而得到处理；通过案例微观结构，我们为这样一种假设提供依据，即“双重束缚之怒”的瓦解力量可能成为未来研究的一种方法范式。
